Provider Demographics
NPI:1003179490
Name:THOMPSON, ERIK SEAVER (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:SEAVER
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12312 HIGHWAY 395
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1951
Mailing Address - Country:US
Mailing Address - Phone:509-466-0357
Mailing Address - Fax:509-466-0423
Practice Address - Street 1:12312 HIGHWAY 395
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-466-0357
Practice Address - Fax:509-466-0423
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00039585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist