Provider Demographics
NPI:1518290014
Name:THOMPSON, KATIE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:ELIZABETH
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:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:ARTHUR
Mailing Address - State:ND
Mailing Address - Zip Code:58006-0125
Mailing Address - Country:US
Mailing Address - Phone:701-967-8900
Mailing Address - Fax:701-967-8906
Practice Address - Street 1:325 MAIN ST
Practice Address - Street 2:
Practice Address - City:ARTHUR
Practice Address - State:ND
Practice Address - Zip Code:58006
Practice Address - Country:US
Practice Address - Phone:701-967-8900
Practice Address - Fax:701-967-8906
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist