Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY BLACK, PHARMD
ActivePharmacist · SAN CLEMENTE, CA
Registration Details
- NPI Number
- 1528508165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2017 (9.159654197202 yrs)
- Last Updated
- Mar 1, 2017
- License
-
RPH28352 (CA)
Practice Information
- Address
-
322 CAMINO SAN CLEMENTESAN CLEMENTE, CA, 926723704Browse CA providers · Browse ZIP 92672
- Phone
- 7022692003
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SAN CLEMENTE, CA
| Name | Credential | NPI |
|---|---|---|
| GERALD G MEDLEY I | — | 1679573042 |
| DR. JAMES MATSUBA | — | 1285764696 |
| SIMA MOAYED | — | 1194043596 |
| MRS. THERESA KORBONSKI PRUITT | RPH | 1558680538 |
| MRS. MEIGHAN BARTHOLOMEW MERONO | PHARMD | 1851686471 |
| MR. EDWARD KEWITZ | — | 1104101518 |
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.