NPI | 1063448843 |
---|---|
Doing Business As | TOM THUMB PHARMACY #2526 |
Entity Type | Organization |
Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 22119) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-24 |
Last Update Date | 2018-11-02 |