| NPI | 1740213248 |
|---|---|
| Doing Business As | M TIMBERLAKE INC |
| Entity Type | Organization |
| Authorized Contact | JOHN PLANTZ Owner And CEO 434-295-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201000435) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-06-12 |