Organization
M. TIMBERLAKE INC
Active
Other names
M TIMBERLAKE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PLANTZ RPH (OWNER AND CEO)
(434) 295-9155
Entity
Organization
Contact information
Practice address
322 E MAIN ST, CHARLOTTESVILLE, VA 22902-5234
(434) 295-9155
(434) 295-5860
Mailing address
PO BOX 2022, CHARLOTTESVILLE, VA 22902-2022
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000435
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503605
—
VA
01
—
2102419
PK
—
Enumeration date
07/08/2006
Last updated
06/12/2014
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