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Individual

DR. JASON ANDREW SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
50 SAGAMORE PKWY S, LAFAYETTE, IN 47905-4747
(765) 448-1325
Mailing address
50 SAGAMORE PKWY S, LAFAYETTE, IN 47905-4747
(765) 448-1325

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029203A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26029203A
PHARMACIST LICENSE
IN
Enumeration date
07/19/2021
Last updated
07/19/2021
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