Individual
DR. SAMUEL DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
420 N 26TH ST, LAFAYETTE, IN 47904-2848
(765) 838-6858
Mailing address
420 N 26TH ST, LAFAYETTE, IN 47904-2848
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
26023644A
IN
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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