MEDICARE: D & R THOMAS INCORP

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	00003117	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2106489	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073625984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & R THOMAS INCORP

Provider Business Mailing Address
First Line	:	PO BOX 1296
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-0197
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 S PIONEER WAY STE 105
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-4637
Country	:	US
Telephone Number	:	509-765-8891
Fax Number	:	509-765-4280

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID THOMAS
Credential	:	RPH
Telephone Number	:	509-765-8891

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2016

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Directions to “D & R THOMAS INCORP ” Practice Location

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