Organization
D & R THOMAS INCORP
Active
Other names
PIONEER MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THOMAS RPH (PRESIDENT)
(509) 765-8891
Entity
Organization
Contact information
Practice address
1550 S PIONEER WAY STE 105, MOSES LAKE, WA 98837-4637
(509) 765-8891
(509) 765-4280
Mailing address
PO BOX 1296, MOSES LAKE, WA 98837-0197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00003117
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106489
PK
—
05
—
6003891
—
WA
Enumeration date
08/31/2006
Last updated
08/22/2016
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