Provider Demographics
NPI:1295915973
Name:THOMPSON, ALEXANDER JOHN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:JOHN
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 1:187 DOOLITTLE RD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-6547
Mailing Address - Country:US
Mailing Address - Phone:315-343-2427
Mailing Address - Fax:
Practice Address - Street 1:33 EAST BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13074-3300
Practice Address - Country:US
Practice Address - Phone:315-342-5037
Practice Address - Fax:315-342-5734
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2010-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist