Doctor Name: | MS. PATRICIA ELLYN THOMAN |
NPI Number: | 1134246242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH |
License Number: | 26045 |
Business Practice Address: | 10953 State Rd Pob 96 Glenwood, NY - 140690096 |
Business Phone Number: | 7165927013 |
Business Fax Number: | 7155927013 |
Mailing Address: | 10953 State Rd, Pob 96 GLENWOOD |
State: | NY |
Postal Code: | 140690096 |
Phone Number: | 7165927013 |
Fax Number: | 7155927013 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 26045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |