Individual
KELSA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026614A
IN
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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