Individual
GERALD JASON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
459 N BROADNAX ST, DADEVILLE, AL 36853-2108
(256) 825-4242
Mailing address
5216 OAK WAY, NORTHPORT, AL 35473-1979
(334) 887-5512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15377
AL
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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