NPI 1083016406

Nyshika Staley

Practitioner Pharmacy Technician Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-6040

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1083016406
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2014
Record last updated: 17 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.