Provider Demographics
NPI:1417241795
Name:THOMAS, BRIANA (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 56TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-2233
Mailing Address - Country:US
Mailing Address - Phone:509-979-4449
Mailing Address - Fax:
Practice Address - Street 1:20311 OLD HIGHWAY 9 SW
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9620
Practice Address - Country:US
Practice Address - Phone:360-664-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60090087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist