Individual
ANDREA LYNN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 1ST ST, MADILL, OK 73446-3900
(580) 795-3358
(580) 795-2390
Mailing address
1100 S 1ST ST, MADILL, OK 73446-3900
(580) 795-3358
(580) 795-2390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12223
OK
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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