Individual
JESSICA M BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D., BCPS
Contact information
Practice address
2010 BECKER DR, LAWRENCE, KS 66047-1620
(785) 864-3252
Mailing address
2010 BECKER DR, LAWRENCE, KS 66047-1620
(785) 864-3252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14662
KS
1835P1200X
Pharmacotherapy Pharmacist
Primary
1-14662
KS
1835P1200X
Pharmacotherapy Pharmacist
2011030566
MO
Other
Enumeration date
08/28/2008
Last updated
11/30/2020
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