Provider Demographics
NPI:1952706756
Name:THOMPSON DRUG KINGSTON INC
Entity Type:Organization
Organization Name:THOMPSON DRUG KINGSTON INC
Other - Org Name:THOMPSON DRUG KINGSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-878-7713
Mailing Address - Street 1:810 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1428
Mailing Address - Country:US
Mailing Address - Phone:606-878-7713
Mailing Address - Fax:606-878-9458
Practice Address - Street 1:2760 BATTLEFIELD MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-8332
Practice Address - Country:US
Practice Address - Phone:859-228-0005
Practice Address - Fax:859-228-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP076593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2148553OtherPK