Individual
DR. JERRY E BOTTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
102 S MAIN ST, CARL JUNCTION, MO 64834-1000
(417) 649-7021
Mailing address
131 FOREST DR, CARL JUNCTION, MO 64834-9613
(417) 624-6922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044270
MO
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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