Individual
KRISTINE SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 E 86TH ST, INDIANAPOLIS, IN 46240-2392
(317) 254-9206
Mailing address
11683 SHADOWWOOD CT, ZIONSVILLE, IN 46077-7806
(317) 733-1343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020452A
IN
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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