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General NPI Number Information
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NPI Number | 1477504827
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Entity Type | Organization
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Legal Business Name | THOMPSON PHARMACY INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 1100 HAMMOND RD E
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-9369
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Country | US
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Telephone | 231-947-2203
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Fax | 231-947-0062
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Provider Business Mailing Address
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Address Line | 1100 HAMMOND RD E
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-9369
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Country | US
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Telephone | 231-947-2203
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Fax | 231-947-0662
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Authorized Official
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Title or Position | VP
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Name | MARK THOMPSON
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Credential | RPH
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Telephone | 231-947-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301008386
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License Number State | MI
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