Individual
MRS. MONA T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03-3-25419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-3-25419
PHARMACY LICENSE
OH
Enumeration date
07/12/2007
Last updated
09/21/2008
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