Individual
DR. TIMOTHY DOUGLAS BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
219 ATLANTIC AVE, RITE AID PHARMACY, MILLVILLE, DE 19967-6701
(302) 539-3334
Mailing address
38920 UPLAND CT, UNIT 1A, FRANKFORD, DE 19945-4709
(302) 539-3334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003657
DE
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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