MEDICARE: TIMOTHY W FORESTER R.PH.

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
1	183500000X	Pharmacist	RP044091L	PA

General Provider Information

NPI Number	:	1649360710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY W FORESTER R.PH.

Provider Business Mailing Address
First Line	:	4080 WASHINGTON RD
Second Line	:	SUITE 106
City	:	MCMURRAY
State	:	PA
Zip	:	15317-2561
Country	:	US
Telephone Number	:	724-941-2522
Fax Number	:	724-942-8386

Provider Business Practice Location Address
First Line	:	4080 WASHINGTON RD
Second Line	:	SUITE 106
City	:	MCMURRAY
State	:	PA
Zip	:	15317-2561
Country	:	US
Telephone Number	:	724-941-2522
Fax Number	:	724-942-8386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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Directions to “ TIMOTHY W FORESTER R.PH.” Practice Location

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