Individual
PAUL JEFFERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
128 W 14TH ST, ANDERSON, IN 46016-1636
(765) 649-1188
Mailing address
128 W 14TH ST, ANDERSON, IN 46016-1636
(765) 649-1188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012664A
IN
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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