MEDICARE: DR. TIMOTHY L ALLISH 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
1	183500000X	Pharmacist	7753	TN
2	183500000X	Pharmacist	9197	AZ

General Provider Information

NPI Number	:	1679878672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY L ALLISH PHARMD

Provider Business Mailing Address
First Line	:	315 N JEFFERSON ST
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-1329
Country	:	US
Telephone Number	:	931-967-6743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 N JACKSON ST
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-2202
Country	:	US
Telephone Number	:	931-455-9817
Fax Number	:	931-455-1305

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

Provider Enumeration Date	:	01/21/2011
Last Update Date	:	01/21/2011

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Directions to “ DR. TIMOTHY L ALLISH PHARMD” Practice Location

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