Individual
TIMOTHY GLENN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2510 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 687-7613
(541) 687-7616
Mailing address
2510 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 687-7613
(541) 687-7616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011404
OR
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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