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Contact Information

JOHN M BOUSUM, PHARM.D.
101 S MOORE AVE
CLAREMORE, OK74017-5047
 Phone: 918-342-6648
 Fax: 918-342-6330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JOHN M BOUSUM · (Male)

NPI # 1134371370
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 10/21/2008
Last updated 10/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 14372
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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