Provider Demographics
NPI:1407138217
Name:THOMAS, RIYA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RIYA
Middle Name:
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 1:1005 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-7032
Mailing Address - Country:US
Mailing Address - Phone:954-725-1601
Mailing Address - Fax:954-725-4519
Practice Address - Street 1:1005 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-7032
Practice Address - Country:US
Practice Address - Phone:954-725-1601
Practice Address - Fax:954-725-4519
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist