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NPI Code Detail

MEDICARE: MADISYN THOMPSON PHARM.D.

MEDICARE: MADISYN 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
1183500000XPharmacist2023030234MO

General Provider Information

NPI Number : 1851073381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISYN THOMPSON PHARM.D.
Provider Business Mailing Address
First Line : 3527 CHOUTEAU AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-2915
Country : US
Telephone Number : 314-771-2900
Fax Number :
Provider Business Practice Location Address
First Line : 3527 CHOUTEAU AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-2915
Country : US
Telephone Number : 314-771-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2023
Last Update Date : 08/03/2023

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

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