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NPI Code Detail

MEDICARE: GAIL DENISE THOMAS RPH

MEDICARE: GAIL DENISE THOMAS 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
1183500000XPharmacistPS24951FL

General Provider Information

NPI Number : 1023652237
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL DENISE THOMAS RPH
Provider Business Mailing Address
First Line : 1521 W GRANADA BLVD
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5920
Country : US
Telephone Number : 386-672-2030
Fax Number : 386-676-0171
Provider Business Practice Location Address
First Line : 1521 W GRANADA BLVD
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5920
Country : US
Telephone Number : 386-672-2030
Fax Number : 386-676-0171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2019
Last Update Date : 10/30/2019

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Directions to “ GAIL DENISE THOMAS RPH” Practice Location

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