Individual
CHARLES WYATT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
5171 SAM JARED DR, MURFREESBORO, TN 37130-1382
(615) 867-5912
(615) 867-5759
Mailing address
5171 SAM JARED DR, MURFREESBORO, TN 37130-1382
(615) 867-5912
(615) 867-5759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5623
TN
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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