Provider Demographics
NPI:1508150772
Name:THOMAS, REKHA SARAH (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:REKHA
Middle Name:SARAH
Last Name:THOMAS
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 1:1 CAMERON HILL CIR
Mailing Address - Street 2:CAMERON HILL PHARMACY
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-9815
Mailing Address - Country:US
Mailing Address - Phone:423-535-5500
Mailing Address - Fax:423-535-5579
Practice Address - Street 1:1 CAMERON HILL CIR
Practice Address - Street 2:CAMERON HILL PHARMACY
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-9815
Practice Address - Country:US
Practice Address - Phone:423-535-5500
Practice Address - Fax:423-535-5579
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2012-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30381183500000X
MD18370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist