Individual
LOUIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
820 183RD ST, HOMEWOOD, IL 60430-3505
(708) 957-9402
Mailing address
3725 CULLODEN ST, FLOSSMOOR, IL 60422-4318
(708) 254-6457
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051035586
IL
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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