Individual
JAYNE WAECHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 N BARR ST., T-1530, MUNCIE, IN 47303
(765) 254-9084
Mailing address
3601 N BARR ST., T-1530, MUNCIE, IN 47303
(765) 254-9084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017232A
IN
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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