NPI 1003362120

Chad Thomas

Practitioner Pharmacist Shawnee, OK

Practice location

Address: 1442 N Harrison Ave, Shawnee, OK 74801-5208
Phone: (405) 273-9906
Fax: (405) 273-4329

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 15327 (OK)

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Registry record

NPI: 1003362120
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2016
Record last updated: 29 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.