Individual
GEOFFREY ALAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 MAIN ST, ROCHESTER, IN 46975-1740
(574) 223-3249
(574) 223-4017
Mailing address
2219 N COUNTY ROAD 275 E, LOGANSPORT, IN 46947-8069
(574) 398-7319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26013824A
IN
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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