Christopher John Thomas, PHARM. D

Individual provider Active NPI Pharmacist · Beech Island, SC

NPI 1104288331 · NPPES record last updated Mar 26, 2016

Key facts

NPI
1104288331
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH36351 (SC)
Practice address
4295 Jefferson Davis Hwy
Beech Island, SC 29842-4824
Phone
(803) 593-5196
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH36351SCMDPharmacist
RP0008226WVMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH36351 SC Yes
Pharmacist 183500000X RP0008226 WV

Addresses

Primary practice location

4295 Jefferson Davis Hwy
Beech Island, SC 29842-4824

Mailing address

4295 Jefferson Davis Hwy
Beech Island, SC 29842-4824
Phone (803) 593-5196

Other providers in Beech Island, SC

All providers in Beech Island, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.