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Individual

MR. JAMES BRADLEY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1955 E JOPPA RD, PARKVILLE, MD 21234-2745
(410) 665-5120
(410) 668-6626
Mailing address
9506 HORN AVE, BALTIMORE, MD 21236-1522
(410) 340-3179
(410) 668-6626

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09861
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09861
PHARMACIST LICENSE
MD
Enumeration date
05/04/2007
Last updated
01/13/2012
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