Individual
JEAN PAUL R EWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
415 W 3RD ST, MARION, IN 46952-3750
(765) 662-1316
Mailing address
415 W 3RD ST, MARION, IN 46952-3750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030694A
IN
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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