Individual
TIMOTHY JAMES MATHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 8TH ST, WELLINGTON, KS 67152-3424
(620) 326-5981
(620) 326-4106
Mailing address
1422 CENTRAL ST, HARPER, KS 67058-1432
(620) 896-7879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12436
KS
183500000X
Pharmacist
35505
TX
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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