Individual
DR. TIFFANY L WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(770) 514-5541
Mailing address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(770) 514-5541
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH023582
GA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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