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Dr. Mardhia Dayisi, PharmD

Pharmacist in Fayetteville, GA. Individual provider (NPI-1).

NPI number1669066890
StatusActive
Last updated in NPPESFeb 28, 2021

Details

NPI
1669066890
Entity type
Individual (NPI-1)
Name
Dr. Mardhia Dayisi
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 28, 2021
Certification date
Feb 28, 2021
Last updated
Feb 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP045340LPAYes
183500000X PharmacistRPH029781GA

Practice location

415 Vinings Walk
Fayetteville, GA 30214-4245

Phone 309-240-8588

Mailing address

415 Vinings Walk
Fayetteville, GA 30214-4245

Phone 770-722-4363

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