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General NPI Number Information
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NPI Number | 1023177185
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Entity Type | Individual
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Provider Name | THOMAS CHRONISTER RPH
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 318 W NORTH ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1004
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Country | US
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Telephone | 260-347-0660
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Fax | 260-347-3638
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Provider Business Mailing Address
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Address Line | 440 KERR IS N
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City | ROME CITY
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State | IN
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Zip | 46784-9675
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Country | US
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Telephone | 260-637-6785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26013282
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License Number State | IN
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