Timothy Black, PHARMD

NPI #1528508165 in San Clemente, California

Provider Information

NPI Number: 1528508165
Entity Type: Individual
Name: Timothy Black, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 322 CAMINO SAN CLEMENTE
City: San Clemente
State: California
ZIP Code: 92672-3704
Phone: (702) 269-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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