Individual
MR. BRUCE L. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6708 LAKE WORTH BLVD, LAKE WORTH, TX 76135-2902
(817) 237-7580
(817) 237-7581
Mailing address
5209 GARRICK AVE, FORT WORTH, TX 76133-2138
(817) 294-1750
(817) 294-4565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20832
TX
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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