Provider Demographics
NPI:1326238239
Name:THOMAS, ELAINE R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:R
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:PO BOX 1489
Mailing Address - Street 2:STANLY REGIONAL MEDICAL CENTER, 301 YADKIN STREET
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28002-1489
Mailing Address - Country:US
Mailing Address - Phone:704-984-4686
Mailing Address - Fax:704-983-7846
Practice Address - Street 1:301 YADKIN ST
Practice Address - Street 2:STANLY REGIONAL MEDICAL CENTER
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3441
Practice Address - Country:US
Practice Address - Phone:704-984-4686
Practice Address - Fax:704-983-7846
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13738183500000X
SC8729183500000X
GARPH020805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist