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NPI Code Detail

MEDICARE: THOMAS CHRISTOPHER SUTHERLAND RPH

MEDICARE: THOMAS CHRISTOPHER SUTHERLAND 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
1183500000XPharmacist041634NY

General Provider Information

NPI Number : 1124350608
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS CHRISTOPHER SUTHERLAND RPH
Provider Business Mailing Address
First Line : 454 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4003
Country : US
Telephone Number : 718-768-0600
Fax Number : 718-832-2912
Provider Business Practice Location Address
First Line : 454 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4003
Country : US
Telephone Number : 718-768-0600
Fax Number : 718-832-2912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 02/08/2010

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