Individual
BEVERLY J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17422 RICHMOND RD, CALLAO, VA 22435
(804) 529-6230
Mailing address
PO BOX 190, LIVELY, VA 22507-0190
(804) 462-0734
(804) 462-5093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202005532
LICENSE
VA
Enumeration date
03/21/2007
Last updated
07/08/2007
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