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NPI Code Detail

MEDICARE: DR. J. TIMOTHY MAGEE PHARM.D.

MEDICARE: DR. J. TIMOTHY MAGEE PHARM.D.
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
1183500000XPharmacist0202204353VA

General Provider Information

NPI Number : 1518965136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J. TIMOTHY MAGEE PHARM.D.
Provider Business Mailing Address
First Line : 4416 MONUMENT AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3825
Country : US
Telephone Number : 804-354-0695
Fax Number :
Provider Business Practice Location Address
First Line : 5801 BREMO RD
Second Line :
City : RICHMOND
State : VA
Zip : 23226-1907
Country : US
Telephone Number : 804-281-8425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/13/2012

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