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Channing Thacker

NPI 1376090076 · on the registry since 2016

Practice

Address
3331 Pleasant Valley Blvd
Altoona, PA 16602
Phone
(814) 942-1081
Organisation at this address
Thrift Drug Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania