MEDICARE: MS. MARY C THOMAS RPH, CGP, FSACP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202009151	VA

General Provider Information

NPI Number	:	1013999689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY C THOMAS RPH, CGP, FSACP

Provider Business Mailing Address
First Line	:	1771 TIMBER COVE CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-6083
Country	:	US
Telephone Number	:	336-817-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	3064 SALEM INDUSTRIAL DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-8854
Country	:	US
Telephone Number	:	336-831-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/06/2011

Similar Medicare Providers

1285670174 — THE DRUG STORE INC
Practice Location Address:

3064 SALEM INDUSTRIAL DR
WINSTON SALEM, NC
27127-8854

Practice Phone: 336-831-0500
Practice Fax: 855-760-7126

1194666826 — ALICIA TARRANT RN
Practice Location Address:

2936 EDWARDS ST
WINSTON SALEM, NC
27127-3919

Practice Phone: 336-473-7250
Practice Fax:

1740121474 — SENIOR RETREAT DAY CENTER LLC
Practice Location Address:

2936 EDWARDS ST
WINSTON SALEM, NC
27127-3919

Practice Phone: 336-473-7250
Practice Fax:

1417899428 — RILEY HALL
Practice Location Address:

905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803

Practice Phone: 336-251-1180
Practice Fax:

1700888492 — DR. JOHN MICHAEL BURKE O.D.
Practice Location Address:

2630 PETERS CREEK PKWY
WINSTON-SALEM, NC
27127-5655

Practice Phone: 336-785-3486
Practice Fax: 336-785-3002

1306839659 — WALTER AZUBUIKE EZEIGBO MD
Practice Location Address:

1000 SOUTHPARK BLVD , SUITE A
WINSTON SALEM, NC
27127-5072

Practice Phone: 336-788-4545
Practice Fax: 336-788-4556

Directions to “ MS. MARY C THOMAS RPH, CGP, FSACP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.