Individual
MR. TRAVER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
346 E MAIN ST, JASONVILLE, IN 47438-1510
(812) 665-9760
(812) 665-9762
Mailing address
346 E MAIN ST, JASONVILLE, IN 47438-1510
(812) 665-9760
(812) 665-9762
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26020204A
IN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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