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Individual

DR. PHILIP THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
222 E BROADWAY, COLUMBIA, MO 65203-4258
(573) 874-3562
Mailing address
5135 CLARK LN APT 100, COLUMBIA, MO 65202-9919
(407) 488-6061

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023014774
MO
183500000X
Pharmacist
PS58823
FL

Other

Enumeration date
12/06/2021
Last updated
07/22/2023
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