Individual
GENA GEORGANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 HIGHLAND PKWY, PICAYUNE, MS 39466-5574
(601) 358-9695
Mailing address
130 HIGHLAND PKWY, PICAYUNE, MS 39466-5574
(601) 358-9695
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-07551
MS
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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