Provider Demographics
NPI:1306440839
Name:MARSINGILL, TIMOTHY BRENTON (PHARMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:BRENTON
Last Name:MARSINGILL
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 1:346 COSBY HWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-2913
Mailing Address - Country:US
Mailing Address - Phone:423-623-1349
Mailing Address - Fax:
Practice Address - Street 1:346 COSBY HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-2913
Practice Address - Country:US
Practice Address - Phone:423-623-1349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist