Individual
CARLEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 GREENBUSH ST, LAFAYETTE, IN 47904-2342
(765) 448-9159
(765) 448-9184
Mailing address
4422 REGATTA DR, LAFAYETTE, IN 47909-8476
(219) 863-2706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025193A
IN
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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