MEDICARE: MR. STEVEN JAMES 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
1	183500000X	Pharmacist	RP-029194-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP-029194-L	OTHER	PA	PHARMACIST

General Provider Information

NPI Number	:	1033241518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN JAMES THOMAS RPH

Provider Business Mailing Address
First Line	:	905 KIMMELS RD
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-2021
Country	:	US
Telephone Number	:	570-366-1767
Fax Number	:

Provider Business Practice Location Address
First Line	:	226 E GRAND AVE
Second Line	:
City	:	TOWER CITY
State	:	PA
Zip	:	17980-1124
Country	:	US
Telephone Number	:	717-647-9523
Fax Number	:

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

Provider Enumeration Date	:	03/11/2007
Last Update Date	:	07/08/2007

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