Timothy Mengel

NPI #1104428515 in Leola, Pennsylvania

Provider Information

NPI Number: 1104428515
Entity Type: Individual
Name: Timothy Mengel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 10 NEWPORT RD
City: Leola
State: Pennsylvania
ZIP Code: 17540-1818
Phone: (717) 656-8575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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