MEDICARE: DR. THOMAS WILLIAM JARVI PHARMD

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	5302038243	MI

General Provider Information

NPI Number	:	1508144551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS WILLIAM JARVI PHARMD

Provider Business Mailing Address
First Line	:	7897 TROTTERS PARK ST
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1862
Country	:	US
Telephone Number	:	734-355-0603
Fax Number	:

Provider Business Practice Location Address
First Line	:	3669 W MAPLE RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3376
Country	:	US
Telephone Number	:	248-647-4900
Fax Number	:

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

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	07/25/2011

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