Provider Demographics
NPI:1225364896
Name:THOMASON, ALAN MICHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MICHAEL
Last Name:THOMASON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0705
Mailing Address - Country:US
Mailing Address - Phone:903-719-7110
Mailing Address - Fax:903-719-7111
Practice Address - Street 1:3520 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0705
Practice Address - Country:US
Practice Address - Phone:903-719-7110
Practice Address - Fax:903-719-7111
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42236183500000X
HIPH-2165183500000X
GARPH023995183500000X
ARPD11854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX42236OtherTEXAS LICENSE