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Organization

JMRX, PC

Active
Other names
Bourbon Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M REICHERT RPH, MPA (PRESIDENT)
(574) 342-5605
Entity
Organization

Contact information

Practice address
101 S MAIN ST, BOURBON, IN 46504-1649
(574) 342-5605
(574) 342-5605
Mailing address
101 S MAIN ST, BOURBON, IN 46504-1649
(574) 342-5605
(574) 342-5605

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60005472A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1524239
NABP
IN
Enumeration date
12/13/2005
Last updated
08/22/2020
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