Individual
MRS. JUNE MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2150 E NATIONAL AVE, WAL-MART PHARMACY, BRAZIL, IN 47834-2831
(812) 443-0466
Mailing address
5401 N MURPHY RD, BRAZIL, IN 47834-8236
(812) 446-0314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016316A
IN
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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