Toby Neal Thompson, PHARM. D

Individual provider Active NPI Pharmacist · Comanche, OK

NPI 1912109869 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1912109869
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
12914 (OK)
Practice address
513 Hillery Rd
Comanche, OK 73529-1200
Phone
(580) 439-8869
Fax
(580) 439-2357
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12914OKMDCounselor
40206TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12914 OK Yes
Pharmacist 183500000X 40206 TX

Addresses

Primary practice location

513 Hillery Rd
Comanche, OK 73529-1200

Mailing address

RR 3 Box 33
Comanche, OK 73529-9513
Phone (580) 439-8270

Other providers in Comanche, OK

All providers in Comanche, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.