Provider Demographics
NPI:1538166426
Name:THORNTON, PHILLIP L (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:L
Last Name:THORNTON
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4713 CARVING TREE DR
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-8807
Mailing Address - Country:US
Mailing Address - Phone:704-499-5890
Mailing Address - Fax:
Practice Address - Street 1:7200 MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7593
Practice Address - Country:US
Practice Address - Phone:704-910-2718
Practice Address - Fax:704-910-6441
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL143501835P1200X
NC110481835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy