Individual
MR. BRIAN LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
125 COURT ST, JACKSON, MO 63755-1807
(573) 243-3524
(573) 243-2155
Mailing address
125 COURT ST, JACKSON, MO 63755-1807
(573) 243-3524
(573) 243-2155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044052
MO
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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