Individual
JAY BRYANT WIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
103 CORPORATE LAKE DR, SUITE B, COLUMBIA, MO 65203-7290
(573) 256-4279
Mailing address
103 CORPORATE LAKE DR, SUITE B, COLUMBIA, MO 65203-7290
(573) 256-4279
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
43265
MO
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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