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Individual
TIM HOLDING
Active
Individual
TIM HOLDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14950
KS
183500000X
Pharmacist
Primary
2010027522
MO
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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