Provider Demographics
NPI:1447532858
Name:LAPP, TIMOTHY RICHMOND (RPH)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:RICHMOND
Last Name:LAPP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22408 LAUREL PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4096
Mailing Address - Country:US
Mailing Address - Phone:661-296-7853
Mailing Address - Fax:
Practice Address - Street 1:24790 VALLEY ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2629
Practice Address - Country:US
Practice Address - Phone:661-670-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH37070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist