Provider Demographics
NPI:1003432931
Name:THOMPSON, BRYAN WILLIAM II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:WILLIAM
Last Name:THOMPSON
Suffix:II
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:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:NEW KNOXVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45871-0336
Mailing Address - Country:US
Mailing Address - Phone:567-644-5914
Mailing Address - Fax:
Practice Address - Street 1:1000 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-2802
Practice Address - Country:US
Practice Address - Phone:375-479-9324
Practice Address - Fax:937-547-9639
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03236455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist