Tim Shockley, RPH

NPI #1245516137 in Longview, Washington

Provider Information

NPI Number: 1245516137
Entity Type: Individual
Name: Tim Shockley, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 24, 2011
Last Updated: May 24, 2013

Practice Location

Address: 1227 15TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3022
Phone: (509) 575-6606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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