Individual
EMANUEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 N HIGHWAY 27, LA FAYETTE, GA 30728-6975
(706) 639-4905
Mailing address
PO BOX 701, ROCK SPRING, GA 30739-0701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025668
GA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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