Individual
JENNY BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4828 DAVIS LANT DR, EVANSVILLE, IN 47715-8919
(812) 475-9541
Mailing address
4828 DAVIS LANT DR, EVANSVILLE, IN 47715-8919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025612A
IN
Other
Enumeration date
07/09/2014
Last updated
08/06/2014
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