Individual
MARYA JANE DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E STATE ST, PENDLETON, IN 46064-9381
(765) 778-4884
(765) 778-5234
Mailing address
620 E STATE ST, PENDLETON, IN 46064-9381
(765) 778-4884
(765) 778-5234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017747A
IN
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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