Provider Demographics
NPI:1396866539
Name:THOMPSON FALLS DRUG
Entity Type:Organization
Organization Name:THOMPSON FALLS DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARTIY
Authorized Official - Middle Name:TAMAR
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-827-4349
Mailing Address - Street 1:1221 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:THOMPSON FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59873
Mailing Address - Country:US
Mailing Address - Phone:406-827-4349
Mailing Address - Fax:
Practice Address - Street 1:16199 SW TUSCANY ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-0663
Practice Address - Country:US
Practice Address - Phone:503-521-0954
Practice Address - Fax:503-521-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies