Organization Name: | THOME ENTERPRISES L L C |
NPI Number: | 1891935326 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID THOME (OWNER/PHARMACIST) |
Mailing Address: | 109 E 3rd Ave Selah |
State: | WA US |
Postal Code: | 989421430 |
Phone Number: | 5096975793 |
Fax Number: | 5096979399 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 601963838 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |