Provider Demographics
NPI:1376887505
Name:THOMAS, ADELE VOLK (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:VOLK
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 CHARLESTON HWY
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-6166
Mailing Address - Country:US
Mailing Address - Phone:803-739-5181
Mailing Address - Fax:803-791-9149
Practice Address - Street 1:1210 CHARLESTON HWY
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-6166
Practice Address - Country:US
Practice Address - Phone:803-739-5181
Practice Address - Fax:803-791-9149
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC006744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist