Individual
MR. JEFFREY DORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
60 A STREET NW, LINTON, IN 47441
(812) 847-1978
(812) 847-1985
Mailing address
60 A STREET NW, LINTON, IN 47441
(812) 847-1978
(812) 847-1985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26017234A
PHARMACIST LICENSE
IN
Enumeration date
10/03/2006
Last updated
07/08/2007
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