Individual
ANNE MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4789 FIREFLY DR NE, GRAND RAPIDS, MI 49525-9308
(616) 365-0481
Mailing address
4789 FIREFLY DR NE, GRAND RAPIDS, MI 49525-9308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032027
MI
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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