Individual
BRYAN LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 MISSOURI BLVD, JEFFERSON CITY, MO 65109-1735
(573) 635-8910
(573) 635-8407
Mailing address
1801 MISSOURI BLVD, JEFFERSON CITY, MO 65109-1735
(573) 635-8910
(573) 635-8407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015025641
MO
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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