# THOMPSON LTC PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THOMPSON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750338901
- **Authorized official:** MR. WILLIAM DONNELLY THOMPSON III R.PH. (PRESIDENT/OWNER)
- **Authorized official phone:** (814) 944-6139

## Contact information

- **Practice address:** 600 E CHESTNUT AVE, ALTOONA, PA 16601-5216
- **Practice address phone:** (814) 944-6139
- **Practice address fax:** (814) 942-1052
- **Mailing address:** 600 E CHESTNUT AVE, ALTOONA, PA 16601-5216
- **Mailing address phone:** (814) 944-6139
- **Mailing address fax:** (814) 942-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP415042L | PA | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011109590001 | — | PA |
