Individual
AUSTIN LANE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
606 N MULBERRY RD, DERBY, KS 67037-3532
(316) 788-3787
Mailing address
1533 E OLIVE CT, ANDOVER, KS 67002-8960
(785) 865-8163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109376
KS
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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