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NPI Code Detail

MEDICARE: JAMES ADDISON THOMPSON JR. RPH

MEDICARE: JAMES ADDISON THOMPSON JR. RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist5965NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15965OTHERNCPHARMACIST

General Provider Information

NPI Number : 1326035791
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ADDISON THOMPSON JR. RPH
Provider Business Mailing Address
First Line : 8400 OLD WELL LN
Second Line : RALEIGH
City : RALEIGH
State : NC
Zip : 27615-2942
Country : US
Telephone Number : 919-832-4641
Fax Number : 919-832-0291
Provider Business Practice Location Address
First Line : 2000 FAIRVIEW RD
Second Line :
City : RALEIGH
State : NC
Zip : 27608-2316
Country : US
Telephone Number : 919-832-4641
Fax Number : 919-832-0291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 07/08/2007

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