Provider Demographics
NPI:1053914507
Name:THOMAS, REEMA ABY (PHARMD)
Entity type:Individual
Prefix:
First Name:REEMA
Middle Name:ABY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 N FIELDER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3149
Mailing Address - Country:US
Mailing Address - Phone:682-235-1025
Mailing Address - Fax:817-303-4439
Practice Address - Street 1:1014 N FIELDER RD STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3149
Practice Address - Country:US
Practice Address - Phone:682-235-1025
Practice Address - Fax:817-303-4439
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist