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General NPI Number Information
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NPI Number | 1801265889
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Entity Type | Organization
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Legal Business Name | THOMPSONS NEIGHBORHOOD PHARMACY LLC
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Dates
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Enumeration Date | 09/19/2015
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 2343 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-1611
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Country | US
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Telephone | 614-388-8088
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Fax | 614-388-8089
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Provider Business Mailing Address
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Address Line | 4889 AUGUSTA WOODS CT
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City | WESTERVILLE
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State | OH
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Zip | 43082
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Country | US
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Telephone | 614-388-8088
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Fax | 614-388-8089
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Authorized Official
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Title or Position | MANAGER/AO
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Name | NATHANAEL THOMPSON
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Credential |
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Telephone | 614-937-4957
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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 |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022549700
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License Number State | OH
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