Provider Demographics
NPI:1952453904
Name:THAMES PHARMACY, INC.
Entity Type:Organization
Organization Name:THAMES PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:EDMOND
Authorized Official - Last Name:THAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-567-5161
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-0005
Mailing Address - Country:US
Mailing Address - Phone:334-567-5161
Mailing Address - Fax:334-567-4503
Practice Address - Street 1:121 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-2712
Practice Address - Country:US
Practice Address - Phone:334-567-5161
Practice Address - Fax:334-567-4503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL109655333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0116485OtherNABP #