Individual
DR. JARED ALYN BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
855 CHEROKEE DR, MARSHALL, MO 65340-1611
(660) 886-9730
Mailing address
855 CHEROKEE DR, MARSHALL, MO 65340-1611
(660) 886-9730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15987
OK
183500000X
Pharmacist
Primary
2017036379
MO
Other
Enumeration date
01/19/2016
Last updated
12/17/2023
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