Individual
PAUL LORREN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W CENTER ST, PROVO, UT 84601-4276
(801) 374-1704
Mailing address
1961 W 1900 S, MAPLETON, UT 84664-4200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
150619-1701
UT
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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