Healthcare Provider Details

I. General information

NPI: 1427280684
Provider Name (Legal Business Name): DEBORAH W. THOMAS D.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 02/23/2020
Certification Date: 02/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 ASHEVILLE HWY
KNOXVILLE TN
37914-3603
US

IV. Provider business mailing address

4414 ASHEVILLE HWY
KNOXVILLE TN
37914-3603
US

V. Phone/Fax

Practice location:
  • Phone: 865-521-2926
  • Fax: 865-546-7720
Mailing address:
  • Phone: 865-521-2926
  • Fax: 865-546-7720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number6661
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: