Individual
JEREMY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 KENSINGTON DR, WAXHAW, NC 28173-0103
(704) 843-7131
Mailing address
8101 KENSINGTON DR, WAXHAW, NC 28173-0103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25310
NC
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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