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Individual
THOMAS CARL THOMPSON
Active
Individual
THOMAS CARL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010080
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S010080
PHARMACIST
AZ
Enumeration date
03/30/2017
Last updated
03/30/2017
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