Individual
MS. LAURA JO THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1300 S. DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 237-2046
Mailing address
PO BOX 9, WINNEBAGO, WI 54985-0009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11651-040
WI
Other
Enumeration date
03/23/2007
Last updated
07/25/2007
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