Healthcare Provider Details

I. General information

NPI: 1659495901
Provider Name (Legal Business Name): THOMAS N TOKARZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MADISON ST
SEATTLE WA
98104-1315
US

IV. Provider business mailing address

5542 31ST AVE NE
SEATTLE WA
98105-2301
US

V. Phone/Fax

Practice location:
  • Phone: 206-322-9240
  • Fax: 206-322-9287
Mailing address:
  • Phone: 206-526-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00017495
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: