Maddox, Timothy Glen

Maddox, Timothy Glen is an sole proprietor health care provider with primary practice located at 798 Beal Pkwy Nw , Ft Walton Bch FL 32547-3042. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maddox, Timothy Glen can be contacted via phone (850) 864-3727.

Contact Information

Primary practice address
798 Beal Pkwy Nw Ft Walton Bch FL 32547-3042
Phone: (850) 864-3727
Fax: (850) 864-2845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS20060 Florida

Profile Details

NPI number 1033425871
LBN Legal business name Maddox, Timothy Glen
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2010
Last updated Aug 30th, 2010 - about 16 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.

Request for update

Popular Providers