Individual
MICHELLE MARKS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1300 EDWARDS FERRY RD NE, LEESBURG, VA 20176-3355
(703) 669-1146
Mailing address
19193 PINTAIL CT, PURCELLVILLE, VA 20132-3957
(540) 338-2704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011087
VA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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