Provider Demographics
NPI:1053624825
Name:O'REILLY, THOMAS EAMONN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EAMONN
Last Name:O'REILLY
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 1:3601 ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7634
Mailing Address - Country:US
Mailing Address - Phone:919-453-0932
Mailing Address - Fax:
Practice Address - Street 1:3601 ROGERS RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7634
Practice Address - Country:US
Practice Address - Phone:919-453-0932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist