Provider Demographics
NPI:1326556515
Name:THAMES, MANDY P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MANDY
Middle Name:P
Last Name:THAMES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:MANDY
Other - Middle Name:L
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4959 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2727
Mailing Address - Country:US
Mailing Address - Phone:615-435-2446
Mailing Address - Fax:615-435-2447
Practice Address - Street 1:4959 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2727
Practice Address - Country:US
Practice Address - Phone:615-435-2446
Practice Address - Fax:615-435-2447
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist