Individual
MS. BRENDA JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 RAPIDS DR, RACINE, WI 53404-2050
(262) 633-0543
(262) 633-3305
Mailing address
2210 RAPIDS DR, RACINE, WI 53404-2050
(262) 633-0543
(262) 633-3305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03324066
OH
183500000X
Pharmacist
Primary
16297
AL
183500000X
Pharmacist
16624-40
WI
183500000X
Pharmacist
50372
TX
183500000X
Pharmacist
PS47315
FL
183500000X
Pharmacist
RPH025793
GA
Other
Enumeration date
03/20/2010
Last updated
11/13/2014
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