Jeremiah Timothy Roark PHARMD. RPH.

NPI 1689892275 - Pharmacist - 183500000X

NPI Details
NPI 1689892275
Gender Male
Enumeration Date 04/22/2007
Last Updated 04/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5210 REIDSVILLE RD
WALKERTOWN NC, 27051-9405, US
Phone (336) 595-3640
Fax (336) 595-8746
Business Location
5210 REIDSVILLE RD
WALKERTOWN NC, 27051-9405, US
Phone (336) 595-3640
Fax (336) 595-8746
Toxanomy
Taxonomy Code 183500000X
License State North Carolina
License Number 17286
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According to our database, Dr. Jeremiah Timothy Roark PHARMD. RPH. NPI is 1689892275, taxonomy code is 183500000X and license number is 17286, license state is located at North Carolina. Jeremiah Timothy Roark PHARMD. RPH. physically located at 5210 Reidsville Rd, Walkertown NC, 27051-9405. NPI Number Jeremiah Timothy Roark PHARMD. RPH. has the Individual type.

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1689892275 NPI number is provided on an as is basis without warranty of any kind. 1689892275 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremiah Timothy Roark PHARMD. RPH. are for informational purposes only.