Healthcare Provider Details

I. General information

NPI: 1346237021
Provider Name (Legal Business Name): CHRISTOPHER JAMES THOMAS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2076 GINGERWOOD CT
GROVE CITY OH
43123-3690
US

IV. Provider business mailing address

2076 GINGERWOOD CT
GROVE CITY OH
43123-3690
US

V. Phone/Fax

Practice location:
  • Phone: 614-539-9044
  • Fax:
Mailing address:
  • Phone: 614-539-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number03-2-24878
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: