Individual
MR. JERRY DAVID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4315 W BELL RD, GLENDALE, AZ 85308-3530
(623) 376-2318
Mailing address
4315 W BELL RD, GLENDALE, AZ 85308-3530
(623) 376-2318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012385
AZ
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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