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Individual

JIMMY THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
557 S PASCACK RD, CHESTNUT RDG, NY 10977-7113
(914) 310-5780
Mailing address
557 S PASCACK RD, CHESTNUT RDG, NY 10977-7113
(914) 310-5780

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0531561
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0531561
NY

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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