Organization
THOMPSON & THOMPSON LONG TERM CARE INC
Active
Other names
West Liberty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD THOMPSON (PRESIDENT/CEO)
(319) 627-4317
Entity
Organization
Contact information
Practice address
311 W RAINBOW DR, SUITE 1, WEST LIBERTY, IA 52776-1013
(319) 627-4317
(319) 627-2037
Mailing address
311 W RAINBOW DR, SUITE 1, WEST LIBERTY, IA 52776-1013
(319) 627-4317
(319) 627-2037
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
619
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366512352
—
IA
01
—
2125771
PK
—
Enumeration date
11/08/2006
Last updated
03/08/2017
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