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Contact Information

JEFFREY CLEMENTS, PHARM.D.
100 N ELKHART ST
WAKARUSA, IN46573
 Phone: 574-862-1454
 Fax: 574-862-4923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JEFFREY CLEMENTS · (Male)

NPI Number 1972101053
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 10/12/2020
Last updated 04/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 26021908A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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