Provider Demographics
NPI:1821303496
Name:THOMAS, DILQUELLE D (PHARMD)
Entity Type:Individual
Prefix:
First Name:DILQUELLE
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 WARRENSVILLE CENTER RD
Mailing Address - Street 2:APT 2A
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5208
Mailing Address - Country:US
Mailing Address - Phone:216-308-1405
Mailing Address - Fax:
Practice Address - Street 1:142 BROAD ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5591
Practice Address - Country:US
Practice Address - Phone:440-322-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-08
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist