Individual
MICAH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3621 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
(502) 657-0756
Mailing address
3621 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011859
KY
Other
Enumeration date
08/26/2011
Last updated
03/01/2023
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