Timothy Marvin Wilson, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Harriman, TN. Individual provider (NPI-1).
NPI number1255017828
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1255017828
- Entity type
- Individual (NPI-1)
- Name
- Timothy Marvin Wilson
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 47108 | TN | Yes |
| 183500000X | Pharmacist | 47108 | TN |
Practice location
1820 Roane State HwyHarriman, TN 37748-8307
Phone 865-717-9496 · Fax 865-717-9928
Mailing address
1820 Roane State HwyHarriman, TN 37748-8307
Phone 865-717-9496 · Fax 865-717-9928
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