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DR. TIMOTHY-JOHN GRAINGER-ROUSSEAU BPHARM, PHD, RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1255521720

Individual Registrant:
DR. TIMOTHY-JOHN  GRAINGER-ROUSSEAU BPHARM, PHD, RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
24220 W NEWBERRY RD  NEWBERRY, FL 32669 US
Tel: 352-472-9001  Fax: 352-472-8776

Contact information for business:
24220 W NEWBERRY RD  NEWBERRY, FL 32669-2211 US
Tel: 352-472-9001  Fax: 352-472-8776

Registration Information:
NPI: 1255521720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS32613

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CONSULTANT PHARMACISTPU8325FL01
PHARMACISTPS32613FL01




HEALTH CARE JOBS FL - Page 1



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