Organization
CHILDREN'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MICHAEL THOMPSON M.D. (PRESIDENT/CEO)
(337) 478-6480
Entity
Organization
Contact information
Practice address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Mailing address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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