Provider Demographics
NPI:1104968072
Name:TH&S LLC
Entity type:Organization
Organization Name:TH&S LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DAIL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-754-4942
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28459-0280
Mailing Address - Country:US
Mailing Address - Phone:252-754-4942
Mailing Address - Fax:252-754-9747
Practice Address - Street 1:4750 MAIN STREET
Practice Address - Street 2:HIGHWAY 17
Practice Address - City:SHALOTTE
Practice Address - State:NC
Practice Address - Zip Code:28459
Practice Address - Country:US
Practice Address - Phone:910-754-4942
Practice Address - Fax:910-754-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC03068332B00000X, 332BP3500X, 332BX2000X, 3336C0003X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE1588Medicaid
NC7701246Medicaid
SCDE1588Medicaid