DYNISHA IVY

FORT STEWART, GA
NPI1568867182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS49963)
Additional Taxonomies183500000X Pharmacist
(Licence: GA  RPH027409)
Enumeration Date2014-10-24
Last Update Date2014-10-24
Business Address
-- DYNISHA IVY Pharmacist
1061 HARMON AVENUE
FORT STEWART, GA 31314-5674
Phone number: 912-435-6965
Mailing Address
-- DYNISHA IVY Pharmacist
1061 HARMON AVENUE
FORT STEWART, GA 31314-5674
Phone number: 912-435-6965