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NPI Code Detail

MEDICARE: DR. SUSAN CAROLYN THOMPSON PHARM. D.

MEDICARE: DR. SUSAN CAROLYN 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
11835P1300XPsychiatric Pharmacist14210AZ
2183500000XPharmacist14210AZ
31835P1200XPharmacotherapy Pharmacist14210AZ

General Provider Information

NPI Number : 1700954617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN CAROLYN THOMPSON PHARM. D.
Provider Business Mailing Address
First Line : 6850 E EDGEMONT PL
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1249
Country : US
Telephone Number : 520-730-6108
Fax Number :
Provider Business Practice Location Address
First Line : 5301 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2805
Country : US
Telephone Number : 520-324-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 01/14/2019

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