Provider Demographics
NPI:1346548476
Name:TIMMER, DAYNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:TIMMER
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 1:4875 HWY 53 E
Mailing Address - Street 2:
Mailing Address - City:TATE
Mailing Address - State:GA
Mailing Address - Zip Code:30177
Mailing Address - Country:US
Mailing Address - Phone:678-454-2300
Mailing Address - Fax:678-454-2301
Practice Address - Street 1:4875 HWY 53 E
Practice Address - Street 2:SUITE B
Practice Address - City:TATE
Practice Address - State:GA
Practice Address - Zip Code:30177
Practice Address - Country:US
Practice Address - Phone:678-454-2323
Practice Address - Fax:678-454-2325
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12177183500000X
GARPH030370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist