Evans, Timothy Warren
Evans, Timothy Warren is an sole proprietor health care provider with primary practice located at 2714 Harbeck Rd , Grants Pass OR 97527-5630. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Evans, Timothy Warren can be contacted via phone (541) 476-0361.Contact Information
Primary practice address
2714 Harbeck Rd
Grants Pass OR 97527-5630
Phone: (541) 476-0361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6119 | Oregon |
Profile Details
| NPI number | 1083119994 |
|---|---|
| LBN Legal business name | Evans, Timothy Warren |
| Credentials | R.PH., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2018 |
| Last updated | Jun 16th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083119994 | NPPES |
| Oregon | Other | 6119 | STATE BOARD OF PHARMACY |
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