Provider Demographics
NPI:1750094322
Name:THOMAS, LOUIS MICHAEL HENRY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LOUIS MICHAEL
Middle Name:HENRY
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MONTGOMERY ST APT C
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6868
Mailing Address - Country:US
Mailing Address - Phone:706-255-5058
Mailing Address - Fax:
Practice Address - Street 1:1605 FREDERICA RD
Practice Address - Street 2:
Practice Address - City:ST SIMONS IS
Practice Address - State:GA
Practice Address - Zip Code:31522-2510
Practice Address - Country:US
Practice Address - Phone:912-638-7732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA034065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist