Organization
THOMAS PHARMACY INC.
Active
Other names
Lee Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY THOMAS (PRESIDENT)
(319) 293-3128
Entity
Organization
Contact information
Practice address
601 1ST ST, KEOSAUQUA, IA 52565-7701
(319) 293-3128
(319) 293-3853
Mailing address
PO BOX 39, KEOSAUQUA, IA 52565-0039
(319) 293-3128
(319) 293-3853
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1486
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143587
PK
—
Enumeration date
10/12/2006
Last updated
02/20/2017
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