Provider Demographics
NPI:1417137746
Name:MCLAUGHLIN, TIMOTHY JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JOHN
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W WASHINGTON ST
Mailing Address - Street 2:ATT PHARMACY DEPT
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1017
Mailing Address - Country:US
Mailing Address - Phone:607-776-6039
Mailing Address - Fax:607-776-7518
Practice Address - Street 1:321 W WASHINGTON ST
Practice Address - Street 2:ATT PHARMACY DEPT
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-1017
Practice Address - Country:US
Practice Address - Phone:607-776-1282
Practice Address - Fax:607-776-1592
Is Sole Proprietor?:No
Enumeration Date:2007-11-03
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist