Individual
GINA BERG THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 N WEBSTER ST, TAYLORVILLE, IL 62568-1555
(217) 824-8154
(217) 824-8165
Mailing address
315 N WEBSTER ST, TAYLORVILLE, IL 62568-1555
(217) 824-8154
(217) 824-8165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.035520
IL
183500000X
Pharmacist
26014691A
IN
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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