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Individual

DR. JUDITH CARRICO THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
2525 DESALES AVE, MEMORIAL HOSPITAL, CHATTANOOGA, TN 37404-1161
(423) 495-8380

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9603
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6601
PHARMACIST LICENSE
SC
01
9603
PHARMACIST LICENSE
TN
Enumeration date
03/28/2007
Last updated
07/10/2007
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