Thompson, Timothy Timell

Thompson, Timothy Timell is an individual health care provider with primary practice located at 5502 Marvin Shields Blvd. , Gulfport MS 39501. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Thompson, Timothy Timell can be contacted via phone (228) 822-5783.

Contact Information

Primary practice address
5502 Marvin Shields Blvd. Gulfport MS 39501
Fax: (228) 871-3648
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202204745 Virginia

Profile Details

NPI number 1902885288
LBN Legal business name Thompson, Timothy Timell
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Nov 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902885288 NPPES
Virginia Other 0202204745 LISCENSE NUMBER

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