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Individual

ELAINE FORTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
RR 1 BOX 227, PRINCETON, IN 47670-9738
(812) 387-4006
Mailing address
RR 3 BOX 62, PRINCETON, IN 47670-9504
(812) 387-4006

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016068A
IN

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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