Provider Demographics
NPI:1528347770
Name:THOMAS, THOMIE SHEA (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:THOMIE
Middle Name:SHEA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 COURTSIDE LN
Mailing Address - Street 2:APT 302
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-2313
Mailing Address - Country:US
Mailing Address - Phone:304-281-9001
Mailing Address - Fax:
Practice Address - Street 1:5700 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-1633
Practice Address - Country:US
Practice Address - Phone:704-531-3592
Practice Address - Fax:704-531-0741
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist