Individual
MR. LARAY ALAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
123 E WALL ST, EAGLE RIVER, WI 54521
(715) 479-3306
(715) 479-7430
Mailing address
123 E WALL ST, EAGLE RIVER, WI 54521
(715) 479-3306
(715) 479-7430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10400
WI
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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