Provider Demographics
NPI:1659673408
Name:THOMAS, JANET M (RPH)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:M
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 E STONE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5619
Mailing Address - Country:US
Mailing Address - Phone:864-235-9115
Mailing Address - Fax:864-235-0462
Practice Address - Street 1:1 E STONE AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5619
Practice Address - Country:US
Practice Address - Phone:864-235-9115
Practice Address - Fax:864-235-0462
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12272183500000X
AZS006439183500000X
WAPH 00009249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist