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Individual

DR. JOHN DAVID FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
574 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 335-0000
(812) 335-6309
Mailing address
574 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 335-0000
(812) 335-6309

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022685A
IN

Other

Enumeration date
02/20/2013
Last updated
02/20/2013
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