Individual
MR. CHARLES PAGE THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1324 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 536-0007
(803) 531-1800
Mailing address
1324 GROVE PARK DR, PO BOX 701, ORANGEBURG, SC 29115-2455
(803) 536-0007
(803) 531-1800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3839
SC
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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