Provider Demographics
NPI:1659495901
Name:TOKARZ, THOMAS N (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:N
Last Name:TOKARZ
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 1:5542 31ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2301
Mailing Address - Country:US
Mailing Address - Phone:206-526-1777
Mailing Address - Fax:
Practice Address - Street 1:1300 MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1315
Practice Address - Country:US
Practice Address - Phone:206-322-9240
Practice Address - Fax:206-322-9287
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist