Provider Demographics
NPI:1942547666
Name:JOBSON, TIMOTHY LEE (PHARMACIST)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:LEE
Last Name:JOBSON
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 SE CHILES CT
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-1531
Mailing Address - Country:US
Mailing Address - Phone:386-871-9594
Mailing Address - Fax:
Practice Address - Street 1:4741 SE CHILES CT
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-1531
Practice Address - Country:US
Practice Address - Phone:386-871-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS14531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist