MEDICARE: JAMES N THOMAS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	012948	GA

General Provider Information

NPI Number	:	1578680518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES N THOMAS RPH

Provider Business Mailing Address
First Line	:	4105 BUENA VISTA RD STE C
Second Line	:	STARMOUNT SHOPPING CENTER
City	:	COLUMBUS
State	:	GA
Zip	:	31907-3866
Country	:	US
Telephone Number	:	706-569-8680
Fax Number	:	706-569-7734

Provider Business Practice Location Address
First Line	:	4105 BUENA VISTA RD STE C
Second Line	:	STARMOUNT SHOPPING CENTER
City	:	COLUMBUS
State	:	GA
Zip	:	31907-3866
Country	:	US
Telephone Number	:	706-569-8680
Fax Number	:	706-569-7734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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