Provider Demographics
NPI:1699022442
Name:TOHME, GEORGE (RPH)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:TOHME
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 1:4650 N CENTRAL AVE
Mailing Address - Street 2:APT 385
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1068
Mailing Address - Country:US
Mailing Address - Phone:602-334-8052
Mailing Address - Fax:
Practice Address - Street 1:4650 N CENTRAL AVE
Practice Address - Street 2:APT 385
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1068
Practice Address - Country:US
Practice Address - Phone:602-334-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-11
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021746183500000X
TX38380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist