Provider Demographics
NPI:1033723846
Name:TOMKINS HUDON, TERRY L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:L
Last Name:TOMKINS HUDON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ASHBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426
Mailing Address - Country:US
Mailing Address - Phone:610-741-8706
Mailing Address - Fax:610-639-3886
Practice Address - Street 1:2 EAST PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512
Practice Address - Country:US
Practice Address - Phone:610-369-3888
Practice Address - Fax:610-369-3886
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI001218183500000X
PARP038516L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist