Individual
DR. PORTIA DAWN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MAIN ST, FLOYD, VA 24091-2131
(540) 580-6797
Mailing address
102 WEST OUTER DR, CANYON LAKE, TX 78133-5164
(540) 580-6797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55122
TX
Other
Enumeration date
11/18/2015
Last updated
08/16/2017
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