Provider Demographics
NPI:1710562178
Name:THORNBURY, SANDRA PIERRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:PIERRE
Last Name:THORNBURY
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:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:DORTON
Mailing Address - State:KY
Mailing Address - Zip Code:41520-0370
Mailing Address - Country:US
Mailing Address - Phone:606-639-2273
Mailing Address - Fax:606-639-2216
Practice Address - Street 1:151 DORTON JENKINS HWY
Practice Address - Street 2:
Practice Address - City:JENKINS
Practice Address - State:KY
Practice Address - Zip Code:41537-8272
Practice Address - Country:US
Practice Address - Phone:606-639-2273
Practice Address - Fax:606-639-2216
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist