Individual
STACY BELMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E 86TH ST STE 35, INDIANAPOLIS, IN 46240-1990
(317) 810-0045
Mailing address
1300 E 86TH ST STE 35, INDIANAPOLIS, IN 46240-1990
(317) 810-0045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023629A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26023629A
STATE BOARD OF PHARMACY
IN
Enumeration date
03/13/2014
Last updated
03/13/2014
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