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General NPI Number Information
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NPI Number | 1114081973
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Entity Type | Organization
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Legal Business Name | THOMPSON DRUG COMPANY
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 130 EAST ST PAUL STREET
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City | SPRING VALLEY
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State | IL
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Zip | 61362-2099
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Country | US
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Telephone | 815-663-4711
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Fax | 815-663-5005
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Provider Business Mailing Address
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Address Line | 130 EAST ST PAUL STREET
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City | SPRING VALLEY
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State | IL
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Zip | 61362-2099
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Country | US
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Telephone | 815-663-4711
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Fax | 815-663-5005
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY G THOMPSON
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Credential | R PH
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Telephone | 815-663-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | IL
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