DR. Thomas Patrick Fosnaugh, PHARM.D.

NPI #1104009083 in Kankakee, Illinois

Provider Information

NPI Number: 1104009083
Entity Type: Individual
Name: DR. Thomas Patrick Fosnaugh, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 1050 N KENNEDY DR
City: Kankakee
State: Illinois
ZIP Code: 60901-2033
Phone: (815) 932-9615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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