MEDICARE: DR. EMILY LUNDY THOMPSON DOCTOR OF 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
1	183500000X	Pharmacist	14742	NC

General Provider Information

NPI Number	:	1356859938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY LUNDY THOMPSON DOCTOR OF PHARMACY

Provider Business Mailing Address
First Line	:	PO BOX 98
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430-0098
Country	:	US
Telephone Number	:	910-649-7721
Fax Number	:

Provider Business Practice Location Address
First Line	:	7490 ANDREW JACKSON HWY SW
Second Line	:
City	:	CERRO GORDO
State	:	NC
Zip	:	28430-9258
Country	:	US
Telephone Number	:	910-649-7721
Fax Number	:	910-316-3259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	01/17/2018

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