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THOMAS GERARD MALE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437754868

Individual Registrant:
 THOMAS GERARD MALE PHARMD
Gender: M
Sole Proprietor

Location and contact information for practice:
16251 MAIN ST  GUERNEVILLE, CA 95446-8300 US
Tel: 707-869-9055  Fax: --

Contact information for business:
20240 ALDER RD  MONTE RIO, CA 95462-9787 US
Tel: 415-385-8988  Fax: --

Registration Information:
NPI: 1437754868
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA28817

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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