Provider Demographics
NPI:1578680518
Name:THOMAS, JAMES N (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:THOMAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4105 BUENA VISTA RD STE C
Mailing Address - Street 2:STARMOUNT SHOPPING CENTER
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-3866
Mailing Address - Country:US
Mailing Address - Phone:706-569-8680
Mailing Address - Fax:706-569-7734
Practice Address - Street 1:4105 BUENA VISTA RD STE C
Practice Address - Street 2:STARMOUNT SHOPPING CENTER
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-3866
Practice Address - Country:US
Practice Address - Phone:706-569-8680
Practice Address - Fax:706-569-7734
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA012948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist