Individual
MR. TOMMY LYNN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
513 HILLARY, SUITE B, COMANCHE, OK 73529
(580) 439-8869
(580) 439-2357
Mailing address
RT 3 BOX 183, COMANCHE, OK 73529
(580) 439-2372
(580) 439-2357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8955
OK
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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