MEDICARE: THOMAS GIACALONE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	015173	NV
2	183500000X	Pharmacist	042798	NY

General Provider Information

NPI Number	:	1376826479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS GIACALONE RPH

Provider Business Mailing Address
First Line	:	10359 TIMBER STAR LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-4029
Country	:	US
Telephone Number	:	702-301-2399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3449
Country	:	US
Telephone Number	:	702-836-9119
Fax Number	:	702-836-9126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2011
Last Update Date	:	09/25/2011

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Directions to “ THOMAS GIACALONE RPH” Practice Location

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