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Individual

MR. JEFFREY LYNN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
10 W MAIN ST, AUSTIN, IN 47102-1304
(812) 794-4311
(812) 794-2514
Mailing address
505 W MARKET ST, SALEM, IN 47167-1410
(812) 883-1331

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
009489
KY
183500000X
Pharmacist
Primary
26020721A
IN

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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