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General NPI Number Information
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NPI Number | 1912071374
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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 | 11/20/2006
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 3850 N LONG LAKE RD STE 101
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-9601
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Country | US
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Telephone | 231-947-2880
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Fax | 231-947-2907
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Provider Business Mailing Address
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Address Line | THOMPSON PHARMACY INC 324 S UNION ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREG THOMPSON
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Credential | RPH
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Telephone | 231-947-4212
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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 | 5301006927
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License Number State | MI
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