Provider Demographics
NPI:1942990973
Name:THARP, TERESA IRENE (CPHT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:IRENE
Last Name:THARP
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5643
Mailing Address - Country:US
Mailing Address - Phone:740-389-2700
Mailing Address - Fax:740-389-1850
Practice Address - Street 1:1081 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5643
Practice Address - Country:US
Practice Address - Phone:740-389-2700
Practice Address - Fax:740-389-1850
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician