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Individual

JAIRUS MATTHEW MCBRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
410 S RIVERFRONT DR, MANKATO, MN 56001-3773
(507) 345-5091
(507) 625-4735
Mailing address
1582 SHERWOOD DR, NORTH MANKATO, MN 56003-2824
(605) 651-6117
(507) 625-4735

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123759
MN

Other

Enumeration date
11/14/2020
Last updated
11/14/2020
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