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PATRICIA LYNNE PINE RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1154804714
Individual Registrant: PATRICIA LYNNE PINE RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
730 MAIN ST CLAY CITY, IN 47841-1332 US
Tel: 812-939-2173 Fax: 812-939-2508
Tel: 812-939-2173 Fax: 812-939-2508
Contact information for business:
730 MAIN ST CLAY CITY, IN 47841-1332 US
Tel: 812-939-2173 Fax: 812-939-2508
Tel: 812-939-2173 Fax: 812-939-2508
Registration Information:
NPI: 1154804714
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | IN | 26019497A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| INDIANA BOARD OF PHARMACY | 26019497A | IN | 01 |
