National Provider Identifier Database

JOE R BOURN SR, RPH – NPI #1033258264
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

JOE R BOURN SR, RPH
31 FRONT ST
COFFEEVILLE, MS38922
Phone: 662-675-2775
Fax: 662-675-8477
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for JOE R BOURN SR

NPI Number 1033258264
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 02/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MS License #: E5330
  • MS Medicaid: 0093220
  • Other: 2502880 NABP # FED
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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