Individual
STANLEY DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
508 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4444
Mailing address
508 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013534A
IN
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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