Individual
ANDREW MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1151 ENTERPRISE DR STE 100, COPPELL, TX 75019-4677
(972) 906-1768
Mailing address
1151 ENTERPRISE DR STE 100, COPPELL, TX 75019-4677
(972) 906-1768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54744
TSBP PHARMACIST LICENSE
TX
Enumeration date
07/21/2015
Last updated
07/01/2020
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