Individual
JEFFREY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 W CLEVELAND RD, SOUTH BEND, IN 46628-6188
(574) 277-1538
(574) 277-1546
Mailing address
2845 W CLEVELAND RD, SOUTH BEND, IN 46628-6188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016648A
IN
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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