DR. Thomas Bacon, PHARMD
NPI #1124428529 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1124428529
- Entity Type
- Individual
- Name
- DR. Thomas Bacon, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Sep 4, 2014
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- Address 2
- 99 MDOS/CC
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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