Individual
DR. TIMOTHY TIMELL THOMPSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5502 MARVIN SHIELDS BLVD., GULFPORT, MS 39501
(228) 822-5783
(228) 871-3648
Mailing address
220 SHADY LANE AVE, LONG BEACH, MS 39560-4308
(901) 219-8000
(228) 822-5783
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202204745
LISCENSE NUMBER
VA
Enumeration date
01/13/2006
Last updated
11/13/2018
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