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Individual
THOMAS MCDONALD
Active
Individual
THOMAS MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0003431
VT
183500000X
Pharmacist
Primary
PCT.0006887
CT
183500000X
Pharmacist
PH22588
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0003431
VERMONT BOARD OF PHARMACY IDENTIFICATION
VT
01
—
CPN202-0014
APHA IMMUNIZATION CERTIFICATION (ALBANY COLLEGE OF PHARMACY)
NY
01
—
PCT.0006887
CONNECTICUT BOARD OF PHARMACY REGISTRATION ID
CT
01
—
PH22588
MASSACHUSETTS BOARD OF PHARMACY REGISTRATION ID
MA
Enumeration date
12/06/2016
Last updated
12/06/2016
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