Individual
DR. THOMAS JON RAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4 GARTON PLZ, WESTON, WV 26452-2129
(304) 269-3737
(304) 269-3770
Mailing address
4 GARTON PLZ, WESTON, WV 26452-2129
(304) 269-3737
(304) 269-3770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008023
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001887
—
WV
Enumeration date
12/11/2012
Last updated
12/11/2012
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