Individual
FREDRICK ROSS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1401 GALAXY DR NE, LACEY, WA 98516-4746
(360) 456-7862
(360) 456-7864
Mailing address
5915 JOHNSON POINT RD NE, OLYMPIA, WA 98516-9150
(360) 456-1043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00021177
WA
183500000X
Pharmacist
RP00004371
NM
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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