Provider Demographics
NPI:1356461271
Name:THOMA, SHARON KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KAY
Last Name:THOMA
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 1:13174 JENKINS ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-4949
Mailing Address - Country:US
Mailing Address - Phone:763-757-5191
Mailing Address - Fax:763-757-5191
Practice Address - Street 1:8949 UNIVERSITY AVE NE
Practice Address - Street 2:KMART PHARMACY
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-8000
Practice Address - Country:US
Practice Address - Phone:763-786-6820
Practice Address - Fax:763-786-3276
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN114173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist