Provider Demographics
NPI:1922324516
Name:PFLOMM, THOMAS JOHN (R PH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOHN
Last Name:PFLOMM
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WALGREENS PHARMACY
Mailing Address - Street 2:180 NORTH MAIN STREET
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:845-634-3655
Mailing Address - Fax:
Practice Address - Street 1:88 BON AIRE CIR
Practice Address - Street 2:APT T-1
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-7328
Practice Address - Country:US
Practice Address - Phone:845-504-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11251183500000X
NY27121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist