Individual
JESSICA RAE FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2423 N NATIONAL RD, COLUMBUS, IN 47201-3733
(812) 372-7804
(812) 378-3790
Mailing address
2423 N NATIONAL RD, COLUMBUS, IN 47201-3733
(812) 372-7804
(812) 378-3790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26023274A
IN
183500000X
Pharmacist
Primary
26024274A
IN
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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