Healthcare Provider Details

I. General information

NPI: 1407155773
Provider Name (Legal Business Name): JAMY THOMPSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 03/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GREENE ST
MARIETTA OH
45750-3134
US

IV. Provider business mailing address

900 FORSHEY RD
MARIETTA OH
45750-8625
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-0769
  • Fax: 740-376-0101
Mailing address:
  • Phone: 740-376-0769
  • Fax: 740-376-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03321692
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: