Provider Demographics
NPI:1720079452
Name:DAILEY, TONYA CHERISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:CHERISE
Last Name:DAILEY
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 1:6422 SHADOW CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-1412
Mailing Address - Country:US
Mailing Address - Phone:770-577-6116
Mailing Address - Fax:770-577-7195
Practice Address - Street 1:6422 SHADOW CT
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-1412
Practice Address - Country:US
Practice Address - Phone:770-577-6116
Practice Address - Fax:770-577-7195
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0189891835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy