Individual
KEVIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
705 ELM ST W, HAMPTON, SC 29924-3105
(803) 943-4446
Mailing address
1739 TOWNE ST, JOHNS ISLAND, SC 29455-3165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36490
SC
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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