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Individual

SAMANTHA ST JACQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
1050 PATROL RD, JEFFERSONVILLE, IN 47130-7750
(855) 242-2241
Mailing address
4038 HERB LEWIS RD APT 422, JEFFERSONVILLE, IN 47130-9402

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031451A
IN

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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