Provider Demographics
NPI:1023186855
Name:THOMAS DRUGS INC
Entity Type:Organization
Organization Name:THOMAS DRUGS INC
Other - Org Name:THOMAS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:RAGLAND
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:IV
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:910-754-4720
Mailing Address - Street 1:10227 BEACH DR SW
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2703
Mailing Address - Country:US
Mailing Address - Phone:910-754-4720
Mailing Address - Fax:833-678-0210
Practice Address - Street 1:4750 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470
Practice Address - Country:US
Practice Address - Phone:910-754-4720
Practice Address - Fax:910-754-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC094503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2067282OtherPK
NC0105289Medicaid