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Individual

THOMAS JACOB REVITTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037
(202) 715-5188
Mailing address
1301 DELARWARE AVE SW #N720, WASHINGTON, DC 20024
(202) 276-9403

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
DC

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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