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Individual
DR. TIMOTHY EDWARD WIRTH
Active
Individual
DR. TIMOTHY EDWARD WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03233117
OH
183500000X
Pharmacist
059317
NY
183500000X
Pharmacist
235059
MA
183500000X
Pharmacist
Primary
RP451491
PA
Other
Enumeration date
04/17/2013
Last updated
01/14/2020
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