Individual
THOMAS JEFFREY EWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
523 SAN GERONIMO RD, #13, TAOS, NM 87571-6456
(515) 897-0201
Mailing address
523 SAN GERONIMO RD, #13, TAOS, NM 87571-6456
(515) 897-0201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043286
MO
183500000X
Pharmacist
Primary
14746
IA
183500000X
Pharmacist
PS 40074
FL
Other
Enumeration date
10/09/2007
Last updated
06/12/2008
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