Provider Demographics
NPI:1619303187
Name:PFEIFFER, TIMOTHY JEFFERY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JEFFERY
Last Name:PFEIFFER
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 1:337 FORT EDWARD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4499
Mailing Address - Country:US
Mailing Address - Phone:630-800-7285
Mailing Address - Fax:
Practice Address - Street 1:3001 ELDORADO PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4207
Practice Address - Country:US
Practice Address - Phone:972-540-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist