Provider Demographics
NPI:1891972071
Name:GYI, MARY THERESE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:THERESE
Last Name:GYI
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 1:5122 MEADOW CREEK TER
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7913
Mailing Address - Country:US
Mailing Address - Phone:410-313-8987
Mailing Address - Fax:410-418-4085
Practice Address - Street 1:5122 MEADOW CREEK TER
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-7913
Practice Address - Country:US
Practice Address - Phone:410-313-8987
Practice Address - Fax:410-418-4085
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist