Provider Demographics
NPI:1326644949
Name:KAULIUS, THOMAS PETER (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:PETER
Last Name:KAULIUS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CLUB HOUSE DR # 434
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-2209
Mailing Address - Country:US
Mailing Address - Phone:908-835-0781
Mailing Address - Fax:908-835-0942
Practice Address - Street 1:2 CLUB HOUSE DR # 434
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-2209
Practice Address - Country:US
Practice Address - Phone:908-835-0781
Practice Address - Fax:908-835-0942
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01565600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist