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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY GLEN MADDOX, RPH

Active Sole Proprietor

MR. TIMOTHY GLEN MADDOX, RPH is a Pharmacist healthcare provider located in FT WALTON BCH, Florida. NPI 1033425871 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FT WALTON BCH, FL

Registration Details

NPI Number
1033425871
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2010 (15.947081858765 yrs)
Last Updated
Aug 30, 2010
License
PS20060 (FL)
Sole Proprietor
Yes

Practice Information

Address
798 BEAL PKWY NW
FT WALTON BCH, FL, 325473042
Browse FL providers · Browse ZIP 32547
Phone
8508643727
Fax
8508642845
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in FT WALTON BCH, FL

Name Credential NPI
DR. KIM SCHADE PHARMD 1750650701
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.