Provider Demographics
NPI:1689290900
Name:THOMSON, VERONICA GRACE (PHARMD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:GRACE
Last Name:THOMSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:G
Other - Last Name:SUNDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2872 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2645
Mailing Address - Country:US
Mailing Address - Phone:614-279-9550
Mailing Address - Fax:
Practice Address - Street 1:2872 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-2645
Practice Address - Country:US
Practice Address - Phone:614-279-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist