Provider Demographics
NPI:1013341213
Name:CASARES, THOMAS JOSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSE
Last Name:CASARES
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 1:16165 SW 65TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4497
Mailing Address - Country:US
Mailing Address - Phone:786-999-3396
Mailing Address - Fax:
Practice Address - Street 1:16165 SW 65TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-4497
Practice Address - Country:US
Practice Address - Phone:786-999-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-25
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS450211835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist