Austin Lane Jamison, PharmD
Pharmacist in Derby, KS. Individual provider (NPI-1).
NPI number1619706546
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1619706546
- Entity type
- Individual (NPI-1)
- Name
- Austin Lane Jamison
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 1-109376 | KS | Yes |
Practice location
606 N Mulberry RdDerby, KS 67037-3532
Phone 316-788-3787
Mailing address
1533 E Olive CtAndover, KS 67002-8960
Phone 785-865-8163
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