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Individual

DAVID THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
950 E BOGARD RD STE 229, WASILLA, AK 99654-7185
(907) 352-2870
Mailing address
950 E BOGARD RD STE 229, WASILLA, AK 99654-7185
(907) 352-2870

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1055
AK
1835P2201X
Ambulatory Care Pharmacist
1055
AK

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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