Individual
DR. BRENT JASON THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3595
Mailing address
1628 RAINBOW ST, GRASSTON, MN 55030-9725
(320) 396-5037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116677-8
MN
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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