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NPI Code Detail

MEDICARE: CHANEL THOMPSON PHARM.D.

MEDICARE: CHANEL THOMPSON PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS52666FL

General Provider Information

NPI Number : 1649664541
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANEL THOMPSON PHARM.D.
Provider Business Mailing Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-276-6287
Fax Number :
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-258-7041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2015
Last Update Date : 04/10/2026

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Directions to “ CHANEL THOMPSON PHARM.D.” Practice Location

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