Provider Demographics
NPI:1184712861
Name:GUY, PATRICIA THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:THOMAS
Last Name:GUY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ANDREA
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1234 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-2631
Mailing Address - Country:US
Mailing Address - Phone:336-818-4411
Mailing Address - Fax:336-818-2141
Practice Address - Street 1:1234 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697
Practice Address - Country:US
Practice Address - Phone:336-818-4411
Practice Address - Fax:336-818-2141
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20615183500000X
NC7001541835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist