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Individual

MR. TIMOTHY EUGENE KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
600 ROUNDWOOD DR, WALGREENS DISTRICT OFFICE, SCARBOROUGH, ME 04074-8259
(207) 885-9365
(207) 885-9367
Mailing address
600 ROUNDWOOD DR, WALGREENS DISTRICT OFFICE, SCARBOROUGH, ME 04074-8259
(207) 885-9365
(207) 885-9367

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.294479
IL
183500000X
Pharmacist
13519
MD
183500000X
Pharmacist
A10002793
DE
183500000X
Pharmacist
Primary
PR5978
ME
183500000X
Pharmacist
R2226
NH
183500000X
Pharmacist
RP046449R
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPI1001735
PA

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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