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Individual

JARED DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 N BECHTLE AVE, SPRINGFIELD, OH 45504-1584
(937) 399-2045
Mailing address
2100 N BECHTLE AVE, SPRINGFIELD, OH 45504-1584

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03223614
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03233814
OHIO STATE BOARD OF PHARMACY
Enumeration date
06/23/2016
Last updated
06/23/2016
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