Provider Demographics
NPI:1699140897
Name:THRASHER DRUGS INC
Entity type:Organization
Organization Name:THRASHER DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:THRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-974-1770
Mailing Address - Street 1:1110 E 6TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-3957
Mailing Address - Country:US
Mailing Address - Phone:256-978-5102
Mailing Address - Fax:256-978-5729
Practice Address - Street 1:15190 COURT ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-1427
Practice Address - Country:US
Practice Address - Phone:256-974-1770
Practice Address - Fax:256-974-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL114572333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL182438Medicaid
2155981OtherPK