Provider Demographics
NPI:1881975589
Name:CHAMBERS, THOMAS JOHN (RPH)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOHN
Last Name:CHAMBERS
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 1:287 CHRISTIANA RD
Mailing Address - Street 2:SUITE 17A
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2978
Mailing Address - Country:US
Mailing Address - Phone:302-325-1098
Mailing Address - Fax:302-325-9632
Practice Address - Street 1:287 CHRISTIANA RD
Practice Address - Street 2:SUITE 17A
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2978
Practice Address - Country:US
Practice Address - Phone:302-325-1098
Practice Address - Fax:302-325-9632
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034081L183500000X
DEA10002099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist