Individual
SAVANNA SPICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S LIBERTY DR, BLOOMINGTON, IN 47403-1924
(812) 349-1392
Mailing address
5087 W HANKS XING, BLOOMINGTON, IN 47403-8820
(812) 227-1952
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26028679A
IN
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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