Wadim Timakov, PHARMD Valid NPI
Individual provider · Pharmacist · Southampton, MA
- NPI
- 1598295396
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- PCT.0009785 (CT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2017-06-14
- Last updated
- 2017-06-14
Practice location
78 White Loaf Rd
Southampton, MA 01073-9550
(860) 377-7613