JOHN MICHAEL BOUSUM

CLAREMORE, OK
NPI1134371370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  14372)
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
DR. JOHN MICHAEL BOUSUM PHARM.D.
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6648
Mailing Address
DR. JOHN MICHAEL BOUSUM PHARM.D.
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6648