Provider Demographics
NPI:1356859938
Name:THOMPSON, EMILY LUNDY (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LUNDY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:CERRO GORDO
Mailing Address - State:NC
Mailing Address - Zip Code:28430-0098
Mailing Address - Country:US
Mailing Address - Phone:910-649-7721
Mailing Address - Fax:
Practice Address - Street 1:7490 ANDREW JACKSON HWY SW
Practice Address - Street 2:
Practice Address - City:CERRO GORDO
Practice Address - State:NC
Practice Address - Zip Code:28430-9258
Practice Address - Country:US
Practice Address - Phone:910-649-7721
Practice Address - Fax:910-316-3259
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist