Individual
JOHN EDWARD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19600 E US HIGHWAY 24 STE 100, WOODLAND PARK, CO 80863-8766
(719) 687-4308
(719) 687-6895
Mailing address
153 MOSS ROCK CT, DIVIDE, CO 80814-7600
(719) 687-4308
(719) 687-6895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0018273
CO
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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