Individual
MS. LAUREN SELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1215 16TH ST, BEDFORD, IN 47421-3706
(812) 277-9375
Mailing address
7486 S ZIKES RD, BLOOMINGTON, IN 47401-9297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020566A
IN
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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