Individual
BRYAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 3RD ST, LAKE VIEW, IA 51450-7612
(712) 665-8554
(712) 665-2749
Mailing address
1160 3RD ST, LAKE VIEW, IA 51450-7612
(712) 665-8554
(712) 665-2749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15805
IA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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