Healthcare Provider Details

I. General information

NPI: 1578475380
Provider Name (Legal Business Name): ELISHA T THOMAS PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 POINSETTIA DR
DELRAY BEACH FL
33444-1250
US

IV. Provider business mailing address

1405 POINSETTIA DR STE 9-11
DELRAY BEACH FL
33444-1250
US

V. Phone/Fax

Practice location:
  • Phone: 888-857-1984
  • Fax:
Mailing address:
  • Phone: 888-857-1984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS60083
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: