Individual
TIMOTHY LIGHTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
401 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2435
(256) 207-2007
Mailing address
401 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2435
(256) 207-2007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16211
AL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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