Individual
JASJEET SINGH WARAITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 S WALNUT ST, BLOOMINGTON, IN 47401-7302
(812) 336-6223
Mailing address
2650 S WALNUT ST, BLOOMINGTON, IN 47401-7302
(812) 336-6223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027809A
IN
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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