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Individual

BENJAMIN J LANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
900 N MAIN ST, CLOVERDALE, IN 46120-8506
(765) 795-4100
(765) 795-5310
Mailing address
900 N MAIN ST, PO BOX 357, CLOVERDALE, IN 46120-8506
(765) 795-4100
(765) 795-5310

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022507A
IN

Other

Enumeration date
01/28/2008
Last updated
11/29/2016
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