Provider Demographics
NPI:1841574712
Name:ORR, THOMAS (PHARM D)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:ORR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6296 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-9039
Mailing Address - Country:US
Mailing Address - Phone:559-325-7324
Mailing Address - Fax:
Practice Address - Street 1:41169 GOODWIN WAY
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8766
Practice Address - Country:US
Practice Address - Phone:559-353-6301
Practice Address - Fax:559-353-6308
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist