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Individual

COLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-8738
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-8738

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026817A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26026817A
PHARMACIST LICENSE NUMBER
IN
Enumeration date
10/10/2018
Last updated
10/10/2018
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