Provider Demographics
NPI:1215821988
Name:AFABLE, TIMOTHY ESTABAN (PHARMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ESTABAN
Last Name:AFABLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7280 TURNSTONE CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-1494
Mailing Address - Country:US
Mailing Address - Phone:909-201-4583
Mailing Address - Fax:
Practice Address - Street 1:7280 TURNSTONE CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-1494
Practice Address - Country:US
Practice Address - Phone:909-201-4583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty