Healthcare Provider Details

I. General information

NPI: 1578817565
Provider Name (Legal Business Name): LONA CHRISTINE THORNHILL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FREEDOM WAY 4E 106
AUGUSTA GA
30904-6258
US

IV. Provider business mailing address

1 FREEDOM WAY 4E 106
AUGUSTA GA
30901
US

V. Phone/Fax

Practice location:
  • Phone: 706-733-0188
  • Fax:
Mailing address:
  • Phone: 706-733-0188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH19754
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH19754
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: