Healthcare Provider Details

I. General information

NPI: 1346884004
Provider Name (Legal Business Name): TIMOTHY JOSEPH RECH PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 11/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 BELMONT AVE
YOUNGSTOWN OH
44505-2401
US

IV. Provider business mailing address

6752 BROOKHOLLOW DR SW
WARREN OH
44481-8645
US

V. Phone/Fax

Practice location:
  • Phone: 330-740-9200
  • Fax: 216-229-2839
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03114810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: