Provider Demographics
NPI:1164889846
Name:THOMPSON, ISAAC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
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 1:100 JACKSON PIKE
Mailing Address - Street 2:HOLZER INPATIENT PHARMACY
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631
Mailing Address - Country:US
Mailing Address - Phone:740-446-5234
Mailing Address - Fax:740-446-5757
Practice Address - Street 1:100 JACKSON PIKE
Practice Address - Street 2:HOLZER INPATIENT PHARMACY
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631
Practice Address - Country:US
Practice Address - Phone:740-446-5234
Practice Address - Fax:740-446-5757
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03234168-2183500000X
KY016585183500000X
WVRP0008095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist