Provider Demographics
NPI:1699013060
Name:THOMPSON, HARRY FRANKLIN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:FRANKLIN
Last Name:THOMPSON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 CEDARCREST RD NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-9539
Mailing Address - Country:US
Mailing Address - Phone:678-439-3446
Mailing Address - Fax:678-439-3453
Practice Address - Street 1:6110 CEDARCREST RD NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9539
Practice Address - Country:US
Practice Address - Phone:678-439-3446
Practice Address - Fax:678-439-3453
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist