Provider Demographics
NPI:1073672150
Name:F B THOMAS DRUG STORE INC
Entity Type:Organization
Organization Name:F B THOMAS DRUG STORE INC
Other - Org Name:THOMAS DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:814-634-8614
Mailing Address - Street 1:327 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-1035
Mailing Address - Country:US
Mailing Address - Phone:814-634-8614
Mailing Address - Fax:814-634-0827
Practice Address - Street 1:327 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1035
Practice Address - Country:US
Practice Address - Phone:814-634-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3911319OtherNCPDP
PA0008198010003Medicaid
PA3911319OtherNCPDP