Provider Demographics
NPI:1184040339
Name:SADOWSKI, THOMAS JORDAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JORDAN
Last Name:SADOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 WESTCLIFFE BLVD APT F344
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9333
Mailing Address - Country:US
Mailing Address - Phone:803-257-2723
Mailing Address - Fax:
Practice Address - Street 1:215 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-5322
Practice Address - Country:US
Practice Address - Phone:509-547-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60399423183500000X
SC14191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist