MEDICARE: DR. JANAE J THOMPSON PHARMD

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
1	183500000X	Pharmacist	P13143	MS
2	183500000X	Pharmacist	37950	TN

General Provider Information

NPI Number	:	1922430644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANAE J THOMPSON PHARMD

Provider Business Mailing Address
First Line	:	8700 W TRAIL LAKE DR
Second Line	:	SUITE 205
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8205
Country	:	US
Telephone Number	:	708-297-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	6939 E SHELBY DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38141-7847
Country	:	US
Telephone Number	:	901-368-6675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	05/06/2015

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