Provider Demographics
NPI:1205448255
Name:THURMAN'S PRO-MED PHARMACY MORRIS COUNTY, LLC
Entity type:Organization
Organization Name:THURMAN'S PRO-MED PHARMACY MORRIS COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:903-717-1688
Mailing Address - Street 1:441 COUNTY ROAD 4220
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-8872
Mailing Address - Country:US
Mailing Address - Phone:903-717-1688
Mailing Address - Fax:903-572-7455
Practice Address - Street 1:201 MAIN ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:TX
Practice Address - Zip Code:75568-9765
Practice Address - Country:US
Practice Address - Phone:903-897-0011
Practice Address - Fax:903-897-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy