Thomas Eugene Bacon, RPH

NPI #1598849127 in Trenton, Missouri

Provider Information

NPI Number: 1598849127
Entity Type: Individual
Name: Thomas Eugene Bacon, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1705 E 9TH ST
City: Trenton
State: Missouri
ZIP Code: 64683-2641
Phone: (660) 359-2216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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