Healthcare Provider Details
I. General information
NPI: 1457927246
Provider Name (Legal Business Name): THOMPSON DRUG NANCY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2021
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9875 WEST HWY 80
NANCY KY
42544
US
IV. Provider business mailing address
PO BOX 877
NANCY KY
42544-0877
US
V. Phone/Fax
- Phone: 606-288-0022
- Fax: 877-718-1500
- Phone: 606-288-0022
- Fax: 877-718-1500
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHLEY
THOMPSON
CHEUVRONT
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 606-682-3337