Provider Demographics
NPI:1902408560
Name:THOMAS, EYDA F (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EYDA
Middle Name:F
Last Name:THOMAS
Suffix:
Gender:F
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 1:6885 S SUNCOAST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-3404
Mailing Address - Country:US
Mailing Address - Phone:352-628-4334
Mailing Address - Fax:352-628-3805
Practice Address - Street 1:6885 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-3404
Practice Address - Country:US
Practice Address - Phone:352-628-4334
Practice Address - Fax:352-628-3805
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist