Healthcare Provider Details

I. General information

NPI: 1316867732
Provider Name (Legal Business Name): HUNTER BLEDSOE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18401 STATE HIGHWAY 13
BRANSON WEST MO
65737-7785
US

IV. Provider business mailing address

378 WHISPER DR
ROGERSVILLE MO
65742-8196
US

V. Phone/Fax

Practice location:
  • Phone: 417-272-8050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026032555
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: