Provider Demographics
NPI:1356460877
Name:THOMPSON, MINDY LYNN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:LYNN
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 1:5566 W CHANCERY RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-5353
Mailing Address - Country:US
Mailing Address - Phone:402-435-6996
Mailing Address - Fax:
Practice Address - Street 1:5020 N 27TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1196
Practice Address - Country:US
Practice Address - Phone:402-477-5099
Practice Address - Fax:402-477-3921
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist