Provider Demographics
NPI:1528066289
Name:THOMAS, MICHELE L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13613 WINNING COLORS LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 BANK ST
Practice Address - Street 2:JEFFERSON BLDG., ROOM 819
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3645
Practice Address - Country:US
Practice Address - Phone:804-786-9489
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020094501835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric