Individual
DR. TIMOTHY SCHULTA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, BCIDP
Contact information
Practice address
2509 W REYNOLDS STREET, PONTIAC, IL 61764-9247
(815) 842-4915
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-4915
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051294049
IL
Other
Enumeration date
01/05/2021
Last updated
02/19/2022
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