Provider Demographics
NPI:1275054884
Name:THOMAS, JENNIFER CARITHERS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CARITHERS
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 STRATFORD CT N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-2682
Mailing Address - Country:US
Mailing Address - Phone:251-802-1356
Mailing Address - Fax:
Practice Address - Street 1:6575 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3703
Practice Address - Country:US
Practice Address - Phone:251-370-9845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL18708OtherPHARMACY