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Individual

DR. TOM TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
16505 SIERRA LAKES PKWY, FONTANA, CA 92336-1256
(909) 770-5648
Mailing address
10362 PARK AVE APT D, GARDEN GROVE, CA 92840-6332
(714) 272-7354

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
84853
CA

Other

Enumeration date
08/28/2021
Last updated
12/14/2022
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