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NPI Code Detail

MEDICARE: LUCAS THOMPSON PHARMD

MEDICARE: LUCAS THOMPSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH0017213OR

General Provider Information

NPI Number : 1881204659
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS THOMPSON PHARMD
Provider Business Mailing Address
First Line : 2222 SW EK RD
Second Line :
City : WEST LINN
State : OR
Zip : 97068-9774
Country : US
Telephone Number : 503-268-2669
Fax Number :
Provider Business Practice Location Address
First Line : 4048 NE HIGHWAY 101
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5069
Country : US
Telephone Number : 541-994-5670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 08/05/2020

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Directions to “ LUCAS THOMPSON PHARMD” Practice Location

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