Provider Demographics
NPI:1538490602
Name:DARRAGH, TIM H (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:H
Last Name:DARRAGH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5360 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:GAP
Mailing Address - State:PA
Mailing Address - Zip Code:17527-9451
Mailing Address - Country:US
Mailing Address - Phone:717-442-9448
Mailing Address - Fax:717-442-9568
Practice Address - Street 1:5360 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:GAP
Practice Address - State:PA
Practice Address - Zip Code:17527-9451
Practice Address - Country:US
Practice Address - Phone:717-442-9448
Practice Address - Fax:717-442-9568
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037354L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist