Thomas Ditch, PharmD
Pharmacist in Fayetteville, NY. Individual provider (NPI-1).
NPI number1164064309
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1164064309
- Entity type
- Individual (NPI-1)
- Name
- Thomas Ditch
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 064915 | NY | Yes |
Practice location
340 Towne DrFayetteville, NY 13066-1371
Phone 315-546-4348
Mailing address
340 Towne DrFayetteville, NY 13066-1371
Phone 315-546-4348
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