Provider Demographics
NPI:1790941664
Name:NAEVE, THOMAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:NAEVE
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 1:1610 VERMEER RD E
Mailing Address - Street 2:PLANT 3 1/2
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-7658
Mailing Address - Country:US
Mailing Address - Phone:641-621-7470
Mailing Address - Fax:641-621-7471
Practice Address - Street 1:1610 VERMEER RD E
Practice Address - Street 2:PLANT 3 1/2
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7658
Practice Address - Country:US
Practice Address - Phone:641-621-7470
Practice Address - Fax:641-621-7471
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist