Individual
DR. STACEY M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
516 NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
516 NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-5748
(505) 722-1185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006845
NM
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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