Augustine, Timothy
Augustine, Timothy is an sole proprietor health care provider with primary practice located at 733 Lawrence St , Etowah TN 37331-2712. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Augustine, Timothy can be contacted via phone (423) 263-4313.Contact Information
Primary practice address
733 Lawrence St
Etowah TN 37331-2712
Phone: (423) 263-4313
Fax: (423) 263-4316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10202 | Tennessee |
Profile Details
| NPI number | 1184095036 |
|---|---|
| LBN Legal business name | Augustine, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2015 |
| Last updated | Oct 16th, 2015 - about 11 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 | 1184095036 | NPPES |
| Tennessee | Other | 10202 | STATE PHARMACY LICENSE |
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