Individual
DR. TIMOTHY J DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 W. WADE HAMPTON BLVD, GREER, SC 29650
(864) 968-1949
(864) 968-2029
Mailing address
101 W. WADE HAMPTON BLVD, WALGREENS #7279, GREER, SC 29650
(864) 968-1949
(864) 968-2029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11623
SC
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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