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Timothy Patrick Hendershot, PharmD

Student in an Organized Health Care Education/Training Program in Scranton, PA. Individual provider (NPI-1).

NPI number1982308474
StatusActive
Last updated in NPPESMar 30, 2023

Details

NPI
1982308474
Entity type
Individual (NPI-1)
Name
Timothy Patrick Hendershot
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2023
Certification date
Mar 30, 2023
Last updated
Mar 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1800 Mulberry St
Scranton, PA 18510-2369

Phone 570-703-6000 · Fax 570-703-6001

Mailing address

277 Bridge St
Bloomsburg, PA 17815-3001

Phone 862-266-8171

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