Provider Demographics
NPI:1598363905
Name:THACHET, JOSH (PHARM D, RPH)
Entity Type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:THACHET
Suffix:
Gender:M
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17641 NORTHERN HARRIER CT
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3843
Mailing Address - Country:US
Mailing Address - Phone:713-213-4204
Mailing Address - Fax:
Practice Address - Street 1:6060 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2542
Practice Address - Country:US
Practice Address - Phone:281-370-4110
Practice Address - Fax:281-370-1860
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist