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NPI Code Detail

MEDICARE: DR. MICHAEL GEORGE THOMPSON PHARMD

MEDICARE: DR. MICHAEL GEORGE THOMPSON PHARMD
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
1183500000XPharmacistRP460101PA

General Provider Information

NPI Number : 1740119320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL GEORGE THOMPSON PHARMD
Provider Business Mailing Address
First Line : 210 S MELVILLE ST APT F54
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-4580
Country : US
Telephone Number : 609-251-7654
Fax Number :
Provider Business Practice Location Address
First Line : 4314 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5232
Country : US
Telephone Number : 215-386-2093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/19/2026

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