Most Relevant Information
Provider Data
| NPI Number: | 1003220757 |
| Provider Name: | TIMOTHY THOMAS CAVANAGH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH100001712 |
Most Important Dates
| Enumeration Date: | 06/19/2014 |
| Last Updated: | 06/04/2020 |
Provider Practice Location
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD
WA
984310001
Practice Location Phone/Fax
| Phone: | 2539682999 |
| Fax: |
Provider Mailing Location
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD
WA
984310001
Provider Mailing Phone/Fax
| Phone: | 2539682999 |
| Fax: |