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Individual
MYRON THOMPSON
Active
Individual
MYRON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12795
OK
183500000X
Pharmacist
Primary
35681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35681
TEXAS PHARMACY LISCENSE NUMBER
TX
Enumeration date
11/04/2014
Last updated
11/04/2014
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