Tyisha King
Pharmacist in Baltimore, MD. Individual provider (NPI-1).
NPI number1982012290
StatusActive
Last updated in NPPESJul 30, 2014
Details
- NPI
- 1982012290
- Entity type
- Individual (NPI-1)
- Name
- Tyisha King
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2014
- Last updated
- Jul 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 22583 | MD | Yes |
Practice location
300 Martin Luther King Jr BlvdBaltimore, MD 21201-1211
Phone 410-539-2532
Mailing address
300 Martin Luther King Jr BlvdBaltimore, MD 21201-1211
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