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Organization

PHYSICIANS PRIMARY CARE, PLLC

Active
Other names
Rx Advantage
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY CAMPBELL (OWNER)
(812) 288-2488
Entity
Organization

Contact information

Practice address
1711 E 10TH ST, JEFFERSONVILLE, IN 47130-6272
(812) 288-2488
(812) 288-6603
Mailing address
1804 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(812) 288-6603

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60006382A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146414
PK
Enumeration date
06/19/2014
Last updated
06/19/2014
About Stedi
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  • EDI platform