Healthcare Provider Details

I. General information

NPI: 1053346684
Provider Name (Legal Business Name): THOMPSON DRUG DOWNTOWN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/13/2020
Certification Date: 07/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 MEYERS BAKER ROAD SUITE 110
LONDON KY
40741
US

IV. Provider business mailing address

803 MEYERS BAKER ROAD SUITE 110
LONDON KY
40741
US

V. Phone/Fax

Practice location:
  • Phone: 606-862-6261
  • Fax: 606-864-3127
Mailing address:
  • Phone: 606-877-1008
  • Fax: 606-864-3127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP06244
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPO6244
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberP06244
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP06244
License Number StateKY

VIII. Authorized Official

Name: CHRISTINE WINDHAM
Title or Position: OFFICE MANAGER
Credential: PHARMD
Phone: 606-877-1008