Provider Demographics
NPI:1801961354
Name:THOMAS, STEPHEN (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 832042
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-2042
Mailing Address - Country:US
Mailing Address - Phone:469-404-8804
Mailing Address - Fax:877-848-1331
Practice Address - Street 1:8989 FOREST LN STE 138
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4137
Practice Address - Country:US
Practice Address - Phone:469-547-1441
Practice Address - Fax:877-848-1331
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist