Provider Demographics
NPI:1013347301
Name:THOMPSON, COURTNEY COLOTTA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:COLOTTA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-1909
Mailing Address - Country:US
Mailing Address - Phone:662-429-5327
Mailing Address - Fax:662-429-6783
Practice Address - Street 1:2380 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-1909
Practice Address - Country:US
Practice Address - Phone:662-429-5327
Practice Address - Fax:662-429-6783
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37408183500000X
MSE-13075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist