MEDICARE: JOANN THOMAS RPH

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	10543	NV

General Provider Information

NPI Number	:	1992306997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN THOMAS RPH

Provider Business Mailing Address
First Line	:	930 SAGECREST WAY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-5901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 S LAMB BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-5416
Country	:	US
Telephone Number	:	702-431-5004
Fax Number	:

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

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	11/05/2020

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Directions to “ JOANN THOMAS RPH” Practice Location

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