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General NPI Number Information
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NPI Number | 1952453904
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Entity Type | Organization
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Legal Business Name | THAMES PHARMACY, INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 E BRIDGE ST
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City | WETUMPKA
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State | AL
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Zip | 36092-2712
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Country | US
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Telephone | 334-567-5161
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Fax | 334-567-4503
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | WETUMPKA
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State | AL
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Zip | 36092-0005
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Country | US
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Telephone | 334-567-5161
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Fax | 334-567-4503
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. BARNEY EDMOND THAMES
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Credential |
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Telephone | 334-567-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 109655
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License Number State | AL
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