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MR. TOMMY LESTER THOMPSON PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1144435355

Individual Registrant:
MR. TOMMY LESTER THOMPSON PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
49 HARRELL ST  TRION, GA 30753 US
Tel: 706-734-2481  Fax: 706-734-7787

Contact information for business:
49 HARRELL ST  TRION, GA 30753 US
Tel: 706-734-2481  Fax: 706-734-7787

Registration Information:
NPI: 1144435355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH009748

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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