Individual
JASON PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
1525 W KEARNEY ST, SPRINGFIELD, MO 65803-1353
(417) 862-4099
Mailing address
1525 W KEARNEY ST, SPRINGFIELD, MO 65803-1353
(417) 862-4099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 045061
MO
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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