Individual
MRS. JEANNE ANN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH. CPHT
Contact information
Practice address
509 MAIN ST, ROCKPORT, IN 47635-1429
(812) 649-2227
Mailing address
3244 EASTBROOKE CT, NEWBURGH, IN 47630-8474
(812) 490-2438
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67002260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070104293956333
CPHT NUMBER
IN
01
—
67002260A
STATE TECH. LICENSE
IN
Enumeration date
03/23/2007
Last updated
07/08/2007
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