Individual
JESSICA MARIE COLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1323 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-2434
(765) 664-3721
Mailing address
1323 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-2434
(765) 664-3721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024733A
IN
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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