Individual
CATHERINE ELAINE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
601 DALLAS ROAD, VILLA RICA, GA 30180
(770) 456-3152
(770) 456-3200
Mailing address
601 DALLAS ROAD, VILLA RICA, GA 30180
(770) 456-3152
(770) 456-3200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025938
GA
Other
Enumeration date
02/14/2012
Last updated
03/25/2016
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