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Andrea Marie Thomas, Pharm.D

Pharmacist in Idabel, OK. Individual provider (NPI-1).

NPI number1164024048
StatusActive
Last updated in NPPESNov 15, 2020

Details

NPI
1164024048
Entity type
Individual (NPI-1)
Name
Andrea Marie Thomas
Credential
Pharm.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 15, 2020
Certification date
Nov 15, 2020
Last updated
Nov 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist19021OKYes

Practice location

1907 Se Washington St
Idabel, OK 74745-5253

Phone 580-286-3323

Mailing address

Po Box 833
Broken Bow, OK 74728-0833

Phone 580-236-4965

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