Individual
JACKSON RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14955 W 151ST ST, OLATHE, KS 66062-3110
(913) 780-9449
Mailing address
14955 W 151ST ST, OLATHE, KS 66062-3110
(913) 780-9449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-115405
KS
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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