Individual
JENS CHRISTIAN TIMOTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(801) 638-2527
Mailing address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(801) 638-2527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018357
AZ
Other
Enumeration date
11/14/2011
Last updated
10/17/2012
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