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Mr. Shane Eden Thompson
Pharmacist in Fort Bragg, California
NPI 1841558111

Shane Eden Thompson is a Pharmacist based in Fort Bragg, CA. Shane Eden Thompson practices in Fort Bragg, CA. The NPI Number for Shane Eden Thompson is 1841558111 and holds a License No. 29158 (California).

The current practice location address for Shane Eden Thompson is 490 S Main St, Fort Bragg, CA and can be reached out via phone at 707-964-1214 and via fax at 707-964-9513.

Location: 490 S Main St, Fort Bragg, CA, 95437-5525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841558111
Provider Name
Shane Eden Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
490 S Main St, Fort Bragg, CA, 95437-5525
Phone Number
707-964-1214
Fax Number
707-964-9513
Provider Enumeration Date
04/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
490 S Main St
City
Fort Bragg
State
California
Zip
95437-4806
Phone Number
707-964-1214
Fax Number
707-964-9513
person
Provider Business Mailing Address Details
Address
490 S Main St
City
Fort Bragg
State
California
Zip
95437-4806
Phone Number
707-964-1214
Fax Number
707-964-9513
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
29158 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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