Individual
JACK VINCENT THOMSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 WATSON ST, WALGREENS, DANVILLE, VA 24541
(434) 793-2221
Mailing address
44 OAK LANE, DUNVILLE, VA 24541
(434) 822-0027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004252
VA
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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