MEDICARE: DR. HEIDI CATHERINE 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
1	183500000X	Pharmacist	5302044614	MI

General Provider Information

NPI Number	:	1760920698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI CATHERINE THOMPSON PHARMD

Provider Business Mailing Address
First Line	:	2237 WESTOVER DR
Second Line	:
City	:	IONIA
State	:	MI
Zip	:	48846-2145
Country	:	US
Telephone Number	:	517-260-0260
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 DIVISION AVE S STE 1C
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-4501
Country	:	US
Telephone Number	:	616-685-1100
Fax Number	:	800-380-1226

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

Provider Enumeration Date	:	02/12/2017
Last Update Date	:	04/19/2025

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Directions to “ DR. HEIDI CATHERINE THOMPSON PHARMD” Practice Location

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