Gourley, Justin
Gourley, Justin is an individual health care provider with primary practice located at 401 Supercenter Dr , Jefferson City MO 65101-8190. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gourley, Justin can be contacted via phone (573) 635-3877.Contact Information
Primary practice address
401 Supercenter Dr
Jefferson City MO 65101-8190
Phone: (573) 635-3877
Fax: (573) 635-6520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2014025399 | Missouri |
Profile Details
| NPI number | 1447627336 |
|---|---|
| LBN Legal business name | Gourley, Justin |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2015 |
| Last updated | Aug 26th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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