MEDICARE: DR. TIMOTHY N. CHRISNEY 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	23053	CA

General Provider Information

NPI Number	:	1366449514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY N. CHRISNEY PHARMD

Provider Business Mailing Address
First Line	:	1140 VOLANTE DR
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-6054
Country	:	US
Telephone Number	:	626-446-0003
Fax Number	:	626-446-3267

Provider Business Practice Location Address
First Line	:	2523 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2044
Country	:	US
Telephone Number	:	626-791-7600
Fax Number	:	626-791-9165

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

Provider Enumeration Date	:	07/02/2005
Last Update Date	:	07/08/2007

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