Individual
COREY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1000 PARK AVE W, MANSFIELD, OH 44906-2810
(419) 529-3790
Mailing address
1000 PARK AVE W, MANSFIELD, OH 44906-2810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03323719
OH
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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