Timothy Joseph Niedzwiecki, PHARMD

NPI #1336747245 in De Pere, Wisconsin

Provider Information

NPI Number: 1336747245
Entity Type: Individual
Name: Timothy Joseph Niedzwiecki, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 13, 2020
Last Updated: Oct 13, 2020

Practice Location

Address: 1415 LAWRENCE DR
City: De Pere
State: Wisconsin
ZIP Code: 54115-3927
Phone: (920) 336-7168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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