Most Relevant Information
Provider Data
| NPI Number: | 1003362120 |
| Provider Name: | CHAD THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15327 |
Most Important Dates
| Enumeration Date: | 08/29/2016 |
| Last Updated: | 08/29/2016 |
Provider Practice Location
1442 N HARRISON AVE
SHAWNEE
OK
748015208
Practice Location Phone/Fax
| Phone: | 4052739906 |
| Fax: | 4052734329 |
Provider Mailing Location
1442 N HARRISON AVE
SHAWNEE
OK
748015208
Provider Mailing Phone/Fax
| Phone: | 4052739906 |
| Fax: | 4052734329 |