MEDICARE: DR. DONNA E THOMAS

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	0202206672	VA

General Provider Information

NPI Number	:	1780897199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA E THOMAS

Provider Business Mailing Address
First Line	:	1815 GLENCOVE LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-2204
Country	:	US
Telephone Number	:	804-232-1829
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 STONY POINT RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-2349
Country	:	US
Telephone Number	:	804-560-7368
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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