NPI 1003220757 · live from the CMS NPI Registry
Timothy Thomas Cavanagh, PharmD
Pharmacist in Joint Base Lewis Mcchord, WA. National Provider Identifier 1003220757, active.
NPI record
| NPI | 1003220757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 |
| Practice phone | 253-968-2999 |
| Enumerated | June 19, 2014 |
| Last updated | June 4, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | ph100001712 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.