Provider Demographics
NPI:1508090846
Name:THOMAS, SABITHA R
Entity Type:Individual
Prefix:MISS
First Name:SABITHA
Middle Name:R
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 34TH ST
Mailing Address - Street 2:APT 302
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-3562
Mailing Address - Country:US
Mailing Address - Phone:360-873-8441
Mailing Address - Fax:
Practice Address - Street 1:1517 COMMERCIAL AVE
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2234
Practice Address - Country:US
Practice Address - Phone:360-293-2119
Practice Address - Fax:360-299-0841
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00067511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist