Provider Demographics
NPI:1780978536
Name:THORNTON, STEVEN J (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:THORNTON
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 1:9235 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7903
Mailing Address - Country:US
Mailing Address - Phone:901-214-0800
Mailing Address - Fax:901-214-0800
Practice Address - Street 1:9235 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7903
Practice Address - Country:US
Practice Address - Phone:901-214-0800
Practice Address - Fax:901-214-0800
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000010111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist