MEDICARE: TOM ELDON SIEGENTHALER 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	24858	TX

General Provider Information

NPI Number	:	1174535496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOM ELDON SIEGENTHALER RPH

Provider Business Mailing Address
First Line	:	1921 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6108
Country	:	US
Telephone Number	:	817-274-0050
Fax Number	:	817-860-6083

Provider Business Practice Location Address
First Line	:	1921 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6108
Country	:	US
Telephone Number	:	817-274-0050
Fax Number	:	817-860-6083

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/04/2026

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