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Mr. Joe Ray Bourn SR., RPH
Pharmacist in Coffeeville, Mississippi
NPI 1033258264

Joe Ray Bourn SR. is a Pharmacist based in Coffeeville, MS. Joe Ray Bourn SR. practices in Coffeeville, MS and has the professional credentials of RPH. The NPI Number for Joe Ray Bourn SR. is 1033258264 and holds a License No. E5330 (Mississippi).

The current practice location address for Joe Ray Bourn SR. is 31 Front St, Coffeeville, MS and can be reached out via phone at 662-675-2775 and via fax at 662-675-8477.

Location: 31 Front St, Coffeeville, MS, 38922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033258264
Provider Name
Joe Ray Bourn SR.
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
31 Front St, Coffeeville, MS, 38922
Phone Number
662-675-2775
Fax Number
662-675-8477
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2502880 01 NABP # FED
0093220 05 MS
institution
Provider Business Practice Location Address Details
Address
31 Front St
City
Coffeeville
State
Mississippi
Zip
38922
Phone Number
662-675-2775
Fax Number
662-675-8477
person
Provider Business Mailing Address Details
Address
31 Front St
City
Coffeeville
State
Mississippi
Zip
38922
Phone Number
662-675-2775
Fax Number
662-675-8477
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E5330 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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