Provider Demographics
NPI:1336570209
Name:LAWLEY, THOMAS J (PHARMD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:LAWLEY
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 1:600 ANSIN BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2118
Mailing Address - Country:US
Mailing Address - Phone:954-874-4646
Mailing Address - Fax:
Practice Address - Street 1:600 ANSIN BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2118
Practice Address - Country:US
Practice Address - Phone:954-874-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist