Provider Demographics
NPI:1962653766
Name:MCELROY, THOMAS EDWIN
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EDWIN
Last Name:MCELROY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7558 DOWNWINDS LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7116
Mailing Address - Country:US
Mailing Address - Phone:561-433-3518
Mailing Address - Fax:
Practice Address - Street 1:7558 DOWNWINDS LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7116
Practice Address - Country:US
Practice Address - Phone:561-433-3518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00015452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist