Individual
DIANE LEE MICHELLE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1320 JAMES AVE, BEDFORD, IN 47421-3592
(812) 275-0301
Mailing address
1801 14TH ST, BEDFORD, IN 47421-3636
(812) 275-0301
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
670004283A
IN
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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