Healthcare Provider Details
I. General information
NPI: 1538501960
Provider Name (Legal Business Name): THURMANS PRO-MED PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2013
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
402 N MADISON AVE
MOUNT PLEASANT TX
75455-3949
US
IV. Provider business mailing address
402 N MADISON AVE
MOUNT PLEASANT TX
75455-3949
US
V. Phone/Fax
- Phone: 903-572-6337
- Fax: 903-572-7455
- Phone: 903-572-6337
- Fax: 903-572-7455
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
THURMAN
Title or Position: PHARMACIST/OWNER
Credential: RPH
Phone: 903-572-6337