Provider Demographics
NPI:1154658326
Name:THOMAS, SHAUNDA MONIQUE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHAUNDA
Middle Name:MONIQUE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7030 BRETSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-3704
Mailing Address - Country:US
Mailing Address - Phone:713-635-8800
Mailing Address - Fax:713-635-8900
Practice Address - Street 1:7030 BRETSHIRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-3704
Practice Address - Country:US
Practice Address - Phone:713-635-8800
Practice Address - Fax:713-635-8900
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38710183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist