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NPI Code Detail

MEDICARE: LIJY E THOMAS

MEDICARE: LIJY E 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
1183500000XPharmacist48539TX

General Provider Information

NPI Number : 1518240191
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIJY E THOMAS
Provider Business Mailing Address
First Line : 6984 RUFE SNOW DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76148-2356
Country : US
Telephone Number : 817-427-9353
Fax Number : 817-427-8054
Provider Business Practice Location Address
First Line : 6984 RUFE SNOW DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76148-2356
Country : US
Telephone Number : 817-427-9353
Fax Number : 817-427-8054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ LIJY E THOMAS ” Practice Location

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