Mike Thomas, PHARMACIST
NPI #1619252954 in Carbondale, Illinois
Provider Information
- NPI Number
- 1619252954
- Entity Type
- Individual
- Name
- Mike Thomas, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- Oct 19, 2011
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 206 S WALL ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-3023
- Phone
- (618) 457-4104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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