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PATRICIA LYNNE PINE RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1154804714

Individual Registrant:
 PATRICIA LYNNE PINE RPH
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

Contact information for business:
730 MAIN ST  CLAY CITY, IN 47841-1332 US
Tel: 812-939-2173  Fax: 812-939-2508

Registration Information:
NPI: 1154804714
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IN26019497A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
INDIANA BOARD OF PHARMACY26019497AIN01




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