Individual provider · Type 1 NPI

Jesse Bart Doran

Pharmacist · Tishomingo, MS

NPI number 1447738299 Active

Practice location

18 First Ave
Tishomingo, MS 38873-8441

Fax (662) 438-6680

Mailing address

PO Box 369, 18 First Avenue
Tishomingo, MS 38873-0369

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-010069 (MS)

Pharmacist: 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…

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About NPI 1447738299

Jesse Bart Doran's National Provider Identifier is 1447738299, issued on Aug 3, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tishomingo, MS. The record was last updated on Aug 3, 2018.