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NPI Code Detail

MEDICARE: TIMOTHY LUCIAN HASELDEN PHARMD

MEDICARE: TIMOTHY LUCIAN HASELDEN 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
1183500000XPharmacist13730SC

General Provider Information

NPI Number : 1932459443
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY LUCIAN HASELDEN PHARMD
Provider Business Mailing Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number : 864-309-8004
Provider Business Practice Location Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number : 864-309-8004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 11/26/2018

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Directions to “ TIMOTHY LUCIAN HASELDEN PHARMD” Practice Location

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