Provider Demographics
NPI:1538498258
Name:THOMAS, SHUNTANDRIA PLASHETTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHUNTANDRIA
Middle Name:PLASHETTE
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 1:24917 FM1314 ROAD
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365
Mailing Address - Country:US
Mailing Address - Phone:832-478-5233
Mailing Address - Fax:
Practice Address - Street 1:24917 FM 1314 RD
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-4982
Practice Address - Country:US
Practice Address - Phone:281-354-1792
Practice Address - Fax:281-354-8239
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist