Jamie R Otto

NPI #1750633822 in La Porte, Indiana

Provider Information

NPI Number: 1750633822
Entity Type: Individual
Name: Jamie R Otto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 12, 2012
Last Updated: Oct 12, 2012

Practice Location

Address: 532 E 300 N
City: La Porte
State: Indiana
ZIP Code: 46350-3995
Phone: (219) 324-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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