Individual
JUSTIN DAVID THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
705 S FREMONT ST, SHENANDOAH, IA 51601-2101
(712) 246-4033
Mailing address
2310 WARREN ST, BELLEVUE, NE 68005-5227
(402) 594-9481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24898
IA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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