Provider Demographics
NPI:1649257676
Name:HOUCHENS, THOMAS M (RPH)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:HOUCHENS
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 1:220 CHIPPEWA LN
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1005
Mailing Address - Country:US
Mailing Address - Phone:606-864-9075
Mailing Address - Fax:
Practice Address - Street 1:208 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1101
Practice Address - Country:US
Practice Address - Phone:606-878-0761
Practice Address - Fax:606-864-4155
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY70991835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy