Provider Demographics
NPI:1033328513
Name:THOMPSON, PAUL WARNER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WARNER
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 1:22712 78TH ST E
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321-5105
Mailing Address - Country:US
Mailing Address - Phone:206-579-6748
Mailing Address - Fax:
Practice Address - Street 1:22712 78TH ST E
Practice Address - Street 2:
Practice Address - City:BUCKLEY
Practice Address - State:WA
Practice Address - Zip Code:98321-5105
Practice Address - Country:US
Practice Address - Phone:206-579-6748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00060169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist