Idiculla, Thomas Thundiyil
Idiculla, Thomas Thundiyil is an sole proprietor health care provider with primary practice located at 759 Chestnut St , Springfield MA 01199-1001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Idiculla, Thomas Thundiyil can be contacted via phone (860) 716-5356.Contact Information
Primary practice address
759 Chestnut St
Springfield MA 01199-1001
Phone: (860) 716-5356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26923 | Massachusetts |
Profile Details
| NPI number | 1376767343 |
|---|---|
| LBN Legal business name | Idiculla, Thomas Thundiyil |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Apr 9th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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