Healthcare Provider Details

I. General information

NPI: 1861497737
Provider Name (Legal Business Name): KAREN ELIZABETH THOMPSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 PROVIDENCE DR
ANCHORAGE AK
99508-4661
US

IV. Provider business mailing address

22225 OBERG RD
CHUGIAK AK
99567-5423
US

V. Phone/Fax

Practice location:
  • Phone: 907-261-5602
  • Fax: 907-261-5834
Mailing address:
  • Phone: 907-261-5602
  • Fax: 907-261-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAA1197
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: