Individual
TIMOTHY AARON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4672
Mailing address
1107 COUNTY ROAD 462, POPLAR BLUFF, MO 63901-6327
(573) 718-1683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
044883
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
044883
MO
Other
Enumeration date
08/11/2006
Last updated
11/30/2016
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