Individual
HOLLY MICHELLE TISSUE-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1566 W MAIN STREET EXT, GROVE CITY, PA 16127-4432
(724) 458-5977
Mailing address
204 SHIELDS RD, SLIPPERY ROCK, PA 16057-1818
(724) 735-2694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045555L
PA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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