Provider Demographics
NPI:1184903718
Name:THOMAS, JAMES L (RPH,CIP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:M
Credentials:RPH,CIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 E PARKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5346
Mailing Address - Country:US
Mailing Address - Phone:330-726-6826
Mailing Address - Fax:
Practice Address - Street 1:2701 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1612
Practice Address - Country:US
Practice Address - Phone:330-782-8240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-13
Last Update Date:2011-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03116346183500000X
PARP034300L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist