Individual
MR. TIMOTHY RYAN SILVESTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
535 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(906) 235-0322
Mailing address
220 S 25TH ST, COUNCIL BLUFFS, IA 51501-3641
(906) 235-0322
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28390
IA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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