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NPI Code Detail

MEDICARE: DR. CHARLEY THOMAS PHARMD

MEDICARE:  DR. CHARLEY  THOMAS  PHARMD
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
1183500000XPharmacistRPH030186GA

General Provider Information

NPI Number : 1659837086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLEY THOMAS PHARMD
Provider Business Mailing Address
First Line : 2550 SANDY PLAINS RD STE 225
Second Line :
City : MARIETTA
State : GA
Zip : 30066-7256
Country : US
Telephone Number : 470-898-1566
Fax Number :
Provider Business Practice Location Address
First Line : 2550 SANDY PLAINS RD STE 225
Second Line :
City : MARIETTA
State : GA
Zip : 30066-7256
Country : US
Telephone Number : 470-898-1566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 01/20/2026

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Directions to “ DR. CHARLEY THOMAS PHARMD” Practice Location

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