Individual
MR. THOMAS ALLEN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
302 PRAIRIE ST N, UNION SPRINGS, AL 36089-1417
(334) 738-2020
(334) 738-8050
Mailing address
302 PRAIRIE ST N, PO BOX 432, UNION SPRINGS, AL 36089-1417
(334) 738-2020
(334) 738-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13762
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13762
PHARMACY LICENSE
AL
01
—
38670
PHARMACY LICENSE
FL
Enumeration date
10/11/2005
Last updated
07/10/2007
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