Koch, Timothy Robert

Koch, Timothy Robert is an individual health care provider with primary practice located at 702 Sw 8Th St , Bentonville AR 72716-6209. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Koch, Timothy Robert can be contacted via phone (479) 204-8627.

Contact Information

Primary practice address
702 Sw 8Th St Bentonville AR 72716-6209
Phone: (479) 204-8627
Fax: (479) 273-8675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 044203 Missouri

Profile Details

NPI number 1700075835
LBN Legal business name Koch, Timothy Robert
Credentials R.PH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 17 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.

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