Provider Demographics
NPI:1326033176
Name:POUNDS, TERESA ISICHEI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ISICHEI
Last Name:POUNDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 MOUNTAIN OAKS PKWY
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-4734
Mailing Address - Country:US
Mailing Address - Phone:770-413-8714
Mailing Address - Fax:404-265-6288
Practice Address - Street 1:634 MOUNTAIN OAKS PKWY
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-4734
Practice Address - Country:US
Practice Address - Phone:770-413-8714
Practice Address - Fax:404-265-6288
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0139471835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy