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Individual

TIMOTHY OWEN WAYMIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4022 MAIN ST, ELK HORN, IA 51531-0355
(712) 764-2334
(712) 764-2337
Mailing address
2016 NE 1ST, BOX 97, ELK HORN, IA 51531-0097
(712) 764-2334
(712) 764-2337

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17110
IA

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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