Individual
JALEN ISAIAH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1604 ROUTE 9, WAPPINGERS FALLS, NY 12590-1355
(845) 298-2351
(845) 298-4024
Mailing address
1604 ROUTE 9, WAPPINGERS FALLS, NY 12590-1355
(845) 298-2351
(845) 298-4024
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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