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NPI Code Detail

MEDICARE: DR. THOMAS JOHN PRICE JR. PHARM, D,

MEDICARE: DR. THOMAS JOHN PRICE JR. 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
1183500000XPharmacistS015935AZ

General Provider Information

NPI Number : 1922317502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JOHN PRICE JR. PHARM, D,
Provider Business Mailing Address
First Line : 3511 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4037
Country : US
Telephone Number : 602-866-5453
Fax Number : 602-866-5447
Provider Business Practice Location Address
First Line : 3511 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4037
Country : US
Telephone Number : 602-866-5453
Fax Number : 602-866-5447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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