Provider Demographics
NPI:1912007568
Name:BOOKWALTER, THOMAS C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:BOOKWALTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:302 SILVER AVE
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1510
Mailing Address - Country:US
Mailing Address - Phone:415-406-1518
Mailing Address - Fax:415-469-2369
Practice Address - Street 1:302 SILVER AVE
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-1510
Practice Address - Country:US
Practice Address - Phone:415-406-1518
Practice Address - Fax:415-469-2369
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA419231835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy