Individual
MR. JASON MCLEAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15005 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 271-2553
Mailing address
15005 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 271-2553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018705A
IN
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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