Individual
DR. BRIAN WILLIAM THAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D. , RPH
Contact information
Practice address
340 SW 24TH ST, FT LAUDERDALE, FL 33315-2547
(954) 764-1584
(954) 525-3282
Mailing address
340 SW 24TH ST, FT LAUDERDALE, FL 33315-2547
(954) 764-1584
(954) 525-3282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41974
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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