Provider Demographics
NPI:1114944022
Name:E W THOMSON DRUG CO LTD
Entity Type:Organization
Organization Name:E W THOMSON DRUG CO LTD
Other - Org Name:E W THOMSON DRUG CO INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCEACHARN
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARMACY
Authorized Official - Phone:318-878-2261
Mailing Address - Street 1:213 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-2819
Mailing Address - Country:US
Mailing Address - Phone:318-878-2261
Mailing Address - Fax:318-878-9870
Practice Address - Street 1:213 DEPOT ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-2819
Practice Address - Country:US
Practice Address - Phone:318-878-2261
Practice Address - Fax:318-878-9870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
LAPHY001105IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1905035OtherNCPDP PROVIDER IDENTIFICATION NUMBER
LA1213853Medicaid
0156920001Medicare NSC