Provider Demographics
NPI:1144289836
Name:THOMPSON, THOMAS JOSEPH (MS, MBA, RPH)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MS, MBA, RPH
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 790
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-0790
Mailing Address - Country:US
Mailing Address - Phone:814-877-2710
Mailing Address - Fax:814-877-2711
Practice Address - Street 1:201 STATE ST
Practice Address - Street 2:HAMOT MEDICAL CENTER
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16550-0002
Practice Address - Country:US
Practice Address - Phone:814-877-2710
Practice Address - Fax:814-877-2711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4397271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy