MEDICARE: DR. NOEL PETER THOMAS PHARM D

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	52101	TX
2	183500000X	Pharmacist	8631761-1701	UT

General Provider Information

NPI Number	:	1801277744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOEL PETER THOMAS PHARM D

Provider Business Mailing Address
First Line	:	4614 LEICESTER WAY
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2706
Country	:	US
Telephone Number	:	832-818-3732
Fax Number	:

Provider Business Practice Location Address
First Line	:	4614 LEICESTER WAY
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2706
Country	:	US
Telephone Number	:	832-818-3732
Fax Number	:

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

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	06/16/2015

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