Timothy Lynn

NPI #1336502996 in Mount Vernon, Illinois

Provider Information

NPI Number: 1336502996
Entity Type: Individual
Name: Timothy Lynn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 31, 2016
Last Updated: Mar 31, 2016

Practice Location

Address: 3404 BROADWAY ST
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2267
Phone: (618) 244-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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