Provider Demographics
NPI:1154554350
Name:NORKUS, THOMAS J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:NORKUS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 NORTHGATE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2835
Mailing Address - Country:US
Mailing Address - Phone:704-506-9045
Mailing Address - Fax:
Practice Address - Street 1:516 NORTHGATE AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2835
Practice Address - Country:US
Practice Address - Phone:704-506-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist