Provider Demographics
NPI:1285895995
Name:SIMMONS, THOMAS VERNON (PHARM D)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:VERNON
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 TABBY LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-9632
Mailing Address - Country:US
Mailing Address - Phone:530-342-2193
Mailing Address - Fax:
Practice Address - Street 1:251 COHASSET RD
Practice Address - Street 2:SUITE 145
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2241
Practice Address - Country:US
Practice Address - Phone:530-332-3825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist