| NPI | 1083745509 |
|---|---|
| Doing Business As | TIMBERLAKE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JODI V. ETTARE Owner 434-237-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201004144) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy (Licence: VA 0201004144) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-10-03 |