Provider Demographics
NPI:1417009457
Name:THAMES, BARNEY EDMOND (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:BARNEY
Middle Name:EDMOND
Last Name:THAMES
Suffix:
Gender:M
Credentials:PHARMACIST
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 281
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-0005
Mailing Address - Country:US
Mailing Address - Phone:334-567-5161
Mailing Address - Fax:334-567-4503
Practice Address - Street 1:121 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-2712
Practice Address - Country:US
Practice Address - Phone:334-567-5161
Practice Address - Fax:334-567-4503
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist