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Organization

LINTON FAMILY PHARMACY INC

Active
Other names
LINTON FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY DORIS RPH (OWNER,PRES,PIC,AO)
(812) 847-1978
Entity
Organization

Contact information

Practice address
60 A ST NW, LINTON, IN 47441-1801
(812) 847-1978
(812) 847-1985
Mailing address
60 A ST NW, LINTON, IN 47441-1801
(812) 847-1978
(812) 847-1985

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60005942A
IN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200139830A
IN
01
2028263
PK
Enumeration date
05/05/2006
Last updated
12/21/2015
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