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Individual

PATRICK J SOUTHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1250 PATROL RD, CHARLESTOWN, IN 47111-8670
(812) 406-2299
(812) 406-2299
Mailing address
1250 PATROL RD, CHARLESTOWN, IN 47111-8670
(812) 406-2299

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10278
KY

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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