Provider Demographics
NPI:1063692606
Name:THOMAS, LENITH L (RPH)
Entity type:Individual
Prefix:
First Name:LENITH
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
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:PO BOX 16740
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77552-6740
Mailing Address - Country:US
Mailing Address - Phone:716-983-4004
Mailing Address - Fax:
Practice Address - Street 1:3045 SILVERLAKE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8080
Practice Address - Country:US
Practice Address - Phone:713-436-2516
Practice Address - Fax:281-606-4484
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048320-1183500000X
TX44808183500000X
IN26019348A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist