Provider Demographics
NPI:1184213357
Name:PALOMIN, TOBI KIRSTEN
Entity Type:Individual
Prefix:
First Name:TOBI
Middle Name:KIRSTEN
Last Name:PALOMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 E LEAGUE CITY PKWY
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3360
Mailing Address - Country:US
Mailing Address - Phone:281-334-2012
Mailing Address - Fax:
Practice Address - Street 1:2755 E LEAGUE CITY PKWY
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3360
Practice Address - Country:US
Practice Address - Phone:281-334-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician