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Organization
THOMPSON'S PHARMACY, INC.
Active
Organization
THOMPSON'S PHARMACY, INC.
Active
Other names
LEE GOODRUM EASTSIDE PHARMACY, White Oak Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREY JOHN BERL THOMPSON III PHARMD (OWNER)
(404) 969-9734
Entity
Organization
Contact information
Practice address
134 MILLARD FARMER INDUSTRIAL BLVD, NEWNAN, GA 30263
(770) 251-4808
(770) 251-4815
Mailing address
134 MILLARD FARMER INDUSTRIAL BLVD, NEWNAN, GA 30263
(770) 251-4808
(770) 251-4815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
3336C0003X
Community/Retail Pharmacy
007093
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134927
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
403928A
—
GA
Enumeration date
01/17/2007
Last updated
08/18/2020
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