Individual
DR. CHARLES BRENT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
463 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5626
(615) 355-6620
Mailing address
463 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34495
TN
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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