Individual
SHELLY DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4837 KENTUCKY AVE, INDIANAPOLIS, IN 46221-3533
(317) 830-4259
Mailing address
1000 CREEKSIDE LN, PLAINFIELD, IN 46168-2389
(317) 946-4346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018059A
IN
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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