Individual
MR. JACK NEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
235 S MAIN ST, CLOVERDALE, IN 46120
(765) 795-4100
(765) 795-5310
Mailing address
258 N MAIN ST, SPENCER, IN 47460
(812) 829-2698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012006A
IN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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