Provider Demographics
NPI:1235265141
Name:RIVERS, THOMAS NOLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NOLAN
Last Name:RIVERS
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 1:7600 HIGHLAND PARK WAY SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2097
Mailing Address - Country:US
Mailing Address - Phone:206-763-3265
Mailing Address - Fax:206-763-3265
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:1ST FLOOR SE ROOM 10
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-215-6415
Practice Address - Fax:206-215-6417
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000143181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy