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NPI Code Detail

MEDICARE: THOMPSONS COMMUNITY PHARMACY

MEDICARE: THOMPSONS COMMUNITY PHARMACY
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy022525600-03OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22153480OTHERPK

General Provider Information

NPI Number : 1356724850
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMPSONS COMMUNITY PHARMACY
Provider Business Mailing Address
First Line : 4889 AUGUSTA WOODS CT
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-9180
Country : US
Telephone Number : 614-362-6888
Fax Number : 614-362-6889
Provider Business Practice Location Address
First Line : 2800 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2654
Country : US
Telephone Number : 614-362-6888
Fax Number : 614-362-6889
Authorized Official
Title or Position : BOARD CHAIRMAN
Name : NATHANAEL THOMPSON
Credential :
Telephone Number : 614-362-6888
Provider Enumeration Date : 07/01/2015
Last Update Date : 11/15/2016

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Directions to “THOMPSONS COMMUNITY PHARMACY ” Practice Location

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