Individual
DR. TIMOTHY LEE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1411 W QUITMAN ST, IUKA, MS 38852-1130
(662) 423-9039
(662) 423-9318
Mailing address
138 COURTLAND DR, SALTILLO, MS 38866-6007
(662) 279-0599
(662) 423-9318
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E19487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E14987
STATE BOARD OF PHARMACY
MS
Enumeration date
12/10/2020
Last updated
12/10/2020
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