Provider Demographics
NPI:1558953125
Name:THOMPSON, ERIN ATWELL (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ATWELL
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 1:331 TIMBER COVE DR
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8918
Mailing Address - Country:US
Mailing Address - Phone:910-840-7617
Mailing Address - Fax:
Practice Address - Street 1:712 TRAM RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3520
Practice Address - Country:US
Practice Address - Phone:910-840-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist