Most Relevant Information
Provider Data
| NPI Number: | 1003051749 |
| Provider Name: | TIFFANY JEAN KIMMERLE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP442651 |
Most Important Dates
| Enumeration Date: | 12/10/2008 |
| Last Updated: | 12/10/2008 |
Provider Practice Location
325 NEW CASTLE RD
BUTLER
PA
160012418
Practice Location Phone/Fax
| Phone: | 1800362826 |
| Fax: |
Provider Mailing Location
325 NEW CASTLE RD
BUTLER
PA
160012418
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |