MEDICARE: TIM M LITMER RPH

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	03215630	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386927630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIM M LITMER RPH

Provider Business Mailing Address
First Line	:	98 LAKEFIELD DR
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1882
Country	:	US
Telephone Number	:	513-379-1979
Fax Number	:

Provider Business Practice Location Address
First Line	:	4090 E GALBRAITH RD
Second Line	:
City	:	DEER PARK
State	:	OH
Zip	:	45236-2324
Country	:	US
Telephone Number	:	513-891-2800
Fax Number	:

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

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	09/23/2011

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Directions to “ TIM M LITMER RPH” Practice Location

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