Provider Demographics
NPI:1891003950
Name:LOVETT, THOMAS P (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:P
Last Name:LOVETT
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:PO BOX 5339
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87502-5339
Mailing Address - Country:US
Mailing Address - Phone:505-455-2256
Mailing Address - Fax:505-455-7929
Practice Address - Street 1:501 OLD SANTA FE TRL
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-0306
Practice Address - Country:US
Practice Address - Phone:505-455-2256
Practice Address - Fax:505-455-7929
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006346183500000X
TX20484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist