Individual
BREEANN RAINBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 948-7404
(812) 949-5479
Mailing address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 948-7404
(812) 949-5479
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67021753A
IN
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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