Individual
DR. JEREMY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14075 PENNINGTON HOLLOW RD, BROOKVILLE, IN 47012-9395
(765) 265-3028
Mailing address
14075 PENNINGTON HOLLOW RD, BROOKVILLE, IN 47012-9395
(765) 265-3028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03228119
OH
183500000X
Pharmacist
Primary
26022573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03228119
OHIO PHARMACIST LICENSE
OH
01
—
26022573A
INDIANA PHARMACIST LICENSE
IN
Enumeration date
12/22/2015
Last updated
12/22/2015
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