Individual
STEPHANIE CELIA AMBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1725 SALEM ST, LAFAYETTE, IN 47904-2105
(795) 477-1276
Mailing address
1725 SALEM ST, LAFAYETTE, IN 47904-2105
(795) 477-1276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030757A
IN
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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