Provider Demographics
NPI:1396982674
Name:THOMAS, MICHELLE L (PHARMD, BCPS, BCACP)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GREENHOUSE RD
Mailing Address - Street 2:URI COLLEGE OF PHARMACY
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881-2018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 GREENHOUSE RD
Practice Address - Street 2:URI COLLEGE OF PHARMACY
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-2018
Practice Address - Country:US
Practice Address - Phone:401-874-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2335811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist