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Contact Information

JONATHAN T BOBO, PHARM.D.
1519 W QUITMAN ST
IUKA, MS38852-1132
 Phone: 662-426-3629
 Fax: 662-423-3620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JONATHAN T BOBO · (Male)

NPI # 1033798129
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 04/06/2021
Last updated 04/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # E15090
Hospital affiliation(s) Not Available
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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