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Contact Information

TIMOTHY AUGUSTINE
733 LAWRENCE ST
ETOWAH, TN37331-2712
 Phone: 423-263-4313
 Fax: 423-263-4316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for TIMOTHY AUGUSTINE · (Male)

NPI Number 1184095036
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2015
Last updated 10/16/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 10202
  • TN Other 10202 STATE PHARMACY LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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