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NPI Code Detail

MEDICARE: TIMOTHY DILLON PHARMD

MEDICARE: TIMOTHY DILLON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistA1-0003147DE
2183500000XPharmacist15663MD

General Provider Information

NPI Number : 1265717086
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY DILLON PHARMD
Provider Business Mailing Address
First Line : 120 BROADKILL RD
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number : 302-684-3184
Fax Number : 302-684-1921
Provider Business Practice Location Address
First Line : 120 BROADKILL RD
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number : 302-684-3184
Fax Number : 302-684-1921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ TIMOTHY DILLON PHARMD” Practice Location

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