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Individual

TIMOTHY RENER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
10138 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-3501
(219) 934-2110
(219) 934-2165
Mailing address
10138 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-3501
(219) 934-2110
(219) 934-2165

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017812A
IN
183500000X
Pharmacist
PH3592
HI
183500000X
Pharmacist
PS51215
FL

Other

Enumeration date
05/24/2014
Last updated
05/24/2014
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