NPI 1013519982

Jairus Matthew McBride, PHARMD

Practitioner Pharmacist Mankato, MN

Practice location

Address: 410 S Riverfront Dr, Mankato, MN 56001-3773
Phone: (507) 345-5091
Fax: (507) 625-4735
Mailing address: 1582 Sherwood Dr, North Mankato, MN 56003-2824

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 123759 (MN)

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Registry record

NPI: 1013519982
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2020
Record last updated: 14 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.