Individual
GABRIEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
975 N 00EW, LAGRANGE, IN 46761
(260) 463-2583
Mailing address
1000 N TOWNLINE RD APT 21, LAGRANGE, IN 46761-1133
(810) 394-1427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030799A
IN
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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