Individual
MR. THOMAS MERRILL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
230 N WISCONSIN ST, DE PERE, WI 54115-2735
(920) 336-2323
(920) 336-2186
Mailing address
230 N WISCONSIN ST, DE PERE, WI 54115-2735
(920) 336-2323
(920) 336-2186
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
7260-40
WI
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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