Provider Demographics
NPI:1295932051
Name:THAMES, JANET N (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:N
Last Name:THAMES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:420-B MCNULTY ROAD SUITE B
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-0803
Mailing Address - Country:US
Mailing Address - Phone:803-786-8110
Mailing Address - Fax:803-735-3302
Practice Address - Street 1:420-B MCNULTY ROAD SUITE B
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-0803
Practice Address - Country:US
Practice Address - Phone:803-786-8110
Practice Address - Fax:803-735-3302
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101021835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric