Provider Demographics
NPI:1952700569
Name:ACHEY, THOMAS S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:ACHEY
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 1:9500 EUCLID AVE # HB-105
Mailing Address - Street 2:DEPARTMENT OF PHARMACY
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-442-5550
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # HB-105
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-442-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17647-40183500000X
AL17674183500000X
OH03334654-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist