Individual
MR. NATHAN S THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH., MBA
Contact information
Practice address
2400 BROENING HWY, BALTIMORE, MD 21224-6612
(410) 288-8022
Mailing address
1053 HAMPTON DR, CROWNSVILLE, MD 21032-1315
(410) 530-1989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14982
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14982
PHARMACY LICENSE
MD
Enumeration date
02/23/2006
Last updated
07/08/2007
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