NPI 1104108638

Roger Timmerman, RPH

Practitioner Pharmacist Shelbyville, IN

Practice location

Address: 1010 E State Road 44, Shelbyville, IN 46176-1770
Phone: (317) 398-8495
Mailing address: 4978 W Cedar Creek Dr, New Palestine, IN 46163-8712

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26015801A (IN)

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Registry record

NPI: 1104108638
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2011
Record last updated: 10 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.