Thompson Pharmacy Olesons West

LBN: Thompson Pharmacy, Inc.
Thompson Pharmacy Olesons West is an health care organization with primary practice located at 3850 N Long Lake Rd Ste 101, Traverse City MI 49684-9601. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thompson Pharmacy, Inc. can be contacted via phone (231) 947-2880, or through Thompson, Greg via phone (231) 947-4212.

Contact Information

Primary practice address
3850 N Long Lake Rd Ste 101 Traverse City MI 49684-9601
Fax: (231) 947-2907
Website:
Authorized official contact:
Name: Thompson, Greg RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006927 Michigan

Profile Details

NPI number 1912071374
LBN Legal business name Thompson Pharmacy, Inc.
DBA Doing business as Thompson Pharmacy Olesons West
Authorized official Thompson, Greg RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912071374 NPPES
Other 2359518 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 4161823 NCPDP PROVIDER IDENTIFICATION NUMBER

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