Provider Demographics
NPI:1972897866
Name:HORWEDEL, TIMOTHY ADAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ADAM
Last Name:HORWEDEL
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 1:618 APACHE LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-2306
Mailing Address - Country:US
Mailing Address - Phone:617-413-6016
Mailing Address - Fax:
Practice Address - Street 1:901 SUMNEYTOWN PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-1008
Practice Address - Country:US
Practice Address - Phone:215-646-5089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009023442183500000X
MI5302038710183500000X
PARP455398P183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist