Organization
THOMPSON PHARMACY, INC.
Active
Other names
THOMPSON PHARMACY OLESONS WEST
Organization subpart
No
Provider details
NPI number
Authorized official
GREG THOMPSON RPH (OWNER)
(231) 947-4212
Entity
Organization
Contact information
Practice address
3850 N LONG LAKE RD, STE 101, TRAVERSE CITY, MI 49684-9601
(231) 947-2880
(231) 947-2907
Mailing address
THOMPSON PHARMACY INC, 324 S UNION ST, TRAVERSE CITY, MI 49684
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359518
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4161823
—
MI
Enumeration date
11/20/2006
Last updated
09/28/2012
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