Individual
TIMOTHY O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 LINCOLN AVE, BEDFORD, IN 47421-2142
(812) 277-1702
Mailing address
14 P ST, BEDFORD, IN 47421-1718
(812) 275-4945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012533A
IN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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