Individual
DALE J ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
319 E TIPTON ST, SEYMOUR, IN 47274-3513
(812) 522-0620
Mailing address
330 MUTTON CREEK DR, SEYMOUR, IN 47274-4042
(812) 216-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018274A
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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