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NPI Code Detail

MEDICARE: JOCELYN C THOMAS

MEDICARE: JOCELYN C THOMAS
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
1183500000XPharmacist054039NY
2183500000XPharmacist62582TX

General Provider Information

NPI Number : 1275856361
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN C THOMAS
Provider Business Mailing Address
First Line : 610 E MALLOY BRIDGE RD
Second Line :
City : SEAGOVILLE
State : TX
Zip : 75159-1818
Country : US
Telephone Number : 972-287-1134
Fax Number :
Provider Business Practice Location Address
First Line : 8345 LANGDALE ST
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-1822
Country : US
Telephone Number : 718-470-0208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2010
Last Update Date : 12/18/2022

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Directions to “ JOCELYN C THOMAS ” Practice Location

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