Thompson Pharmacy

LBN: Broad Avenue Pharmacy Llc
Thompson Pharmacy is an health care organization with primary practice located at 2329 Broad Ave , Altoona PA 16601-1979. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broad Avenue Pharmacy Llc can be contacted via phone (814) 943-1310, or through Thompson, William via phone (814) 944-6139.

Contact Information

Primary practice address
2329 Broad Ave Altoona PA 16601-1979
Fax: (814) 943-2841
Website:
Authorized official contact:
Name: Thompson, William

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410249L Pennsylvania

Profile Details

NPI number 1184661589
LBN Legal business name Broad Avenue Pharmacy Llc
DBA Doing business as Thompson Pharmacy
Authorized official Thompson, William
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184661589 NPPES
Pennsylvania MEDICAID 0019655640001

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