Basic Information
| Provider Information | |||||||||
| NPI: | 1326576927 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILHOIT | ||||||||
| FirstName: | TOMMY | ||||||||
| MiddleName: | |||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2002 N FORBES BLVD STE 104 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857451446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207950111 | ||||||||
| FaxNumber: | 5207952332 | ||||||||
| Practice Location | |||||||||
| Address1: | 2002 N FORBES BLVD STE 104 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857451446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207950111 | ||||||||
| FaxNumber: | 5207952332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | S022324 | AZ | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.