Individual
JAYNE L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3530 STATE ROAD 38 E, LAFAYETTE, IN 47905-5121
(765) 448-6592
(765) 448-6168
Mailing address
815 S 11TH ST, LAFAYETTE, IN 47905-1409
(765) 742-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015535A
IN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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