Zachary Thompson | Tyler, TX • PECOS Search

Zachary Thompson

Pharmacist

Pharmacy Service Providers

19201 Oakbrook Rd, Tyler, TX 75703-8233

PECOS Enrollment

Based on the most recent information from CMS, provider Zachary Thompson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1538773213
Provider Type
Individual
Full Name
Thompson, Zachary
Gender
Male

Sole Proprietor
No
Enumeration Date
9/1/2020
Last Updated
9/1/2020

Contact Information

Practice Location

19201 Oakbrook Rd, Tyler, TX 75703-8233

Unlisted Fax

Mailing Location

19201 Oakbrook Rd, Tyler, TX 75703-8233

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 67061 Texas