Provider Demographics
NPI:1740093533
Name:THORNE, SAMANTHA LEIGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LEIGH
Last Name:THORNE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:LEIGH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:602 N 5TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2871
Mailing Address - Country:US
Mailing Address - Phone:215-499-0795
Mailing Address - Fax:
Practice Address - Street 1:620 BALTIMORE DR
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-7959
Practice Address - Country:US
Practice Address - Phone:570-284-3756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449560183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist