Individual
DR. JORDAN LECOUR RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5349 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3011
(317) 387-2410
Mailing address
2222 DUNEWOOD PL APT 533, INDIANAPOLIS, IN 46217-2221
(260) 437-1245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029031A
IN
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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