Provider Demographics
NPI:1235412651
Name:THOMPSON, TAMARA A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:A
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20301 HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-9009
Mailing Address - Country:US
Mailing Address - Phone:970-380-0945
Mailing Address - Fax:
Practice Address - Street 1:20301 HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-9009
Practice Address - Country:US
Practice Address - Phone:970-380-0945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO154261835P1200X
WY27261835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy