Individual
MR. ISADORE JAMES JURKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1560 PARKMAN RD NW, WARREN, OH 44485-2159
(330) 898-1054
Mailing address
1560 PARKMAN RD NW, WARREN, OH 44485-2159
(330) 898-1054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03110216
OH
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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