Individual
MRS. NANCY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1825 EAST OAK ST, JENA, LA 71342-0602
(318) 992-4912
(318) 992-6446
Mailing address
PO BOX 602, JENA, LA 71342-0602
(318) 992-4912
(318) 992-6446
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2412PT
LA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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