Provider Demographics
NPI:1427454941
Name:THOMPSON, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-9029
Mailing Address - Country:US
Mailing Address - Phone:828-837-8804
Mailing Address - Fax:828-835-9054
Practice Address - Street 1:2330 HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-9029
Practice Address - Country:US
Practice Address - Phone:828-837-8804
Practice Address - Fax:828-835-9054
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12279183500000X
GARPH027117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist