Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY BRYANT WIMP, RPH
Active Sole ProprietorAmbulatory Care Pharmacist · COLUMBIA, MO
Registration Details
- NPI Number
- 1417309162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2016 (9.7938123837907 yrs)
- Last Updated
- Jul 6, 2016
- License
-
43265 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 CORPORATE LAKE DRSUITE BCOLUMBIA, MO, 652037290Browse MO providers · Browse ZIP 65203
- Phone
- 5732564279
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
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.