Provider Demographics
NPI:1962505883
Name:DENTON, THOMAS ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ARTHUR
Last Name:DENTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 BAY DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-4911
Mailing Address - Country:US
Mailing Address - Phone:251-981-9842
Mailing Address - Fax:
Practice Address - Street 1:25405 PERDIDO BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561
Practice Address - Country:US
Practice Address - Phone:251-981-1796
Practice Address - Fax:251-981-1797
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist