MR. Tony M Thanicatt, R.PH.

NPI #1639459365 in Blackwood, New Jersey

Provider Information

NPI Number: 1639459365
Entity Type: Individual
Name: MR. Tony M Thanicatt, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 25, 2011
Last Updated: Dec 28, 2012

Practice Location

Address: 625 N BLACK HORSE PIKE
City: Blackwood
State: New Jersey
ZIP Code: 08012-3957
Phone: (856) 228-1368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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