Provider Demographics
NPI:1538481890
Name:DOERR, THOMAS E (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:DOERR
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 1:2240 NW TYLER ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66608-1923
Mailing Address - Country:US
Mailing Address - Phone:785-233-7003
Mailing Address - Fax:785-233-3647
Practice Address - Street 1:2240 NW TYLER ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66608-1923
Practice Address - Country:US
Practice Address - Phone:785-233-7003
Practice Address - Fax:785-233-3647
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist