MEDICARE: TOMELDON CORPORATION

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	3336C0003X	Community/Retail Pharmacy	15737	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4582397	OTHER		NABP

General Provider Information

NPI Number	:	1174631667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOMELDON CORPORATION

Provider Business Mailing Address
First Line	:	2220 W PARK ROW DR STE A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013
Country	:	US
Telephone Number	:	817-274-0050
Fax Number	:	817-860-6083

Provider Business Practice Location Address
First Line	:	2220 W PARK ROW DR STE A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013
Country	:	US
Telephone Number	:	817-274-0050
Fax Number	:	817-860-6083

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TOM ELDON SIEGENTHALER
Credential	:	R.PH.
Telephone Number	:	817-274-0050

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	07/25/2014

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Directions to “TOMELDON CORPORATION ” Practice Location

Language	Start Address	Practice Location

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