Provider Demographics
NPI:1902189095
Name:TOLMAN, TROY NATHAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:NATHAN
Last Name:TOLMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2310
Mailing Address - Country:US
Mailing Address - Phone:509-684-1440
Mailing Address - Fax:509-684-2831
Practice Address - Street 1:358 N MAIN ST
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2310
Practice Address - Country:US
Practice Address - Phone:509-684-1440
Practice Address - Fax:509-684-2831
Is Sole Proprietor?:No
Enumeration Date:2011-09-24
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60507700183500000X
WAPH60170840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist