Schupp, Jerry A

Schupp, Jerry A is an sole proprietor health care provider with primary practice located at 2304 Missouri Blvd , Jefferson City MO 65109-4729. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Schupp, Jerry A can be contacted via phone (573) 634-4400.

Contact Information

Primary practice address
2304 Missouri Blvd Jefferson City MO 65109-4729
Phone: (573) 634-4400
Fax: (573) 636-0672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 29259 Missouri

Profile Details

NPI number 1699007930
LBN Legal business name Schupp, Jerry A
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2010
Last updated Feb 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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