Thomas Thundiyil Idiculla, R.PH.

NPI #1376767343 in Springfield, Massachusetts

Provider Information

NPI Number: 1376767343
Entity Type: Individual
Name: Thomas Thundiyil Idiculla, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Apr 12, 2007
Last Updated: Apr 9, 2009

Practice Location

Address: 759 CHESTNUT ST
City: Springfield
State: Massachusetts
ZIP Code: 01199-1001
Phone: (860) 716-5356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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