Individual
MR. JACK R. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 JOHNSON, CHELAN, WA 98816
(509) 682-4087
Mailing address
160-23RD. ST. NW, EAST WENATCHEE, WA 98802
(253) 225-4711
(509) 267-6667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9790
WA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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