Provider Demographics
NPI:1548567530
Name:SENTER, THOMAS GRADEN
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:GRADEN
Last Name:SENTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HIGHWAY 31 SW
Mailing Address - Street 2:SUITE 20
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2855
Mailing Address - Country:US
Mailing Address - Phone:256-773-6561
Mailing Address - Fax:
Practice Address - Street 1:241 HIGHWAY 31 SW
Practice Address - Street 2:SUITE 20
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2855
Practice Address - Country:US
Practice Address - Phone:256-773-6561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist