Provider Demographics
NPI:1811264229
Name:BOVEE, THOMAS ALVIN
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ALVIN
Last Name:BOVEE
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 1:1108 VENABLE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-1331
Mailing Address - Country:US
Mailing Address - Phone:540-353-8142
Mailing Address - Fax:
Practice Address - Street 1:1108 VENABLE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-1331
Practice Address - Country:US
Practice Address - Phone:540-353-8142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist