Individual
DIANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8163
Mailing address
PO BOX 123, LAKE ARIEL, PA 18436-0123
(570) 698-0393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035831R
PA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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