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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOE RAY BOURN SR., RPH

Active

MR. JOE RAY BOURN SR., RPH is a Pharmacist healthcare provider located in COFFEEVILLE, Mississippi. NPI 1033258264 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · COFFEEVILLE, MS

Registration Details

NPI Number
1033258264
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2007 (19.478486431956 yrs)
Last Updated
Jul 8, 2007
License
E5330 (MS)

Practice Information

Address
31 FRONT ST
COFFEEVILLE, MS, 38922
Browse MS providers · Browse ZIP 38922
Phone
6626752775
Fax
6626758477
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.