Individual
PATRICIA LYNNE PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
730 MAIN ST, CLAY CITY, IN 47841-1332
(812) 939-2173
(812) 939-2508
Mailing address
730 MAIN ST, CLAY CITY, IN 47841-1332
(812) 939-2173
(812) 939-2508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019497A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
09/10/2018
Last updated
09/10/2018
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