Provider Demographics
NPI:1871195883
Name:THORNTON, ELBERT ALAN (RPH, JD)
Entity Type:Individual
Prefix:MR
First Name:ELBERT
Middle Name:ALAN
Last Name:THORNTON
Suffix:
Gender:M
Credentials:RPH, JD
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Mailing Address - Street 1:12201 BEAVERBROOK ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8173
Mailing Address - Country:US
Mailing Address - Phone:409-893-2654
Mailing Address - Fax:409-755-1316
Practice Address - Street 1:12201 BEAVERBROOK ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8173
Practice Address - Country:US
Practice Address - Phone:409-893-2654
Practice Address - Fax:254-294-1903
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX28417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28417OtherTEXAS STATE BOARD OF PHARMACY