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

MARK J TIMMERMAN, R.PH.

Active Sole Proprietor

Pharmacist · BREESE, IL

Registration Details

NPI Number
1386138311
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2018 (7.8714758826507 yrs)
Last Updated
Jun 22, 2018
License
051.033890 (IL)
Sole Proprietor
Yes

Practice Information

Address
117 CLINTONIAN PLZ
BREESE, IL, 622301501
Browse IL providers · Browse ZIP 62230
Phone
6185268040
Fax
6185268072
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BREESE, IL

Name Credential NPI
SARAH POLLMANN 1477032852
DIANE MARIE FOPPE RPH 1245822774
DR. ALYSSA M KAMPWERTH PHARM.D. 1811589336
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.