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Individual

MR. MICHAEL A WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1408 MILLER AVE STE A, SHELBYVILLE, IN 46176-3279
(317) 421-2020
(317) 421-2022
Mailing address
1056 FALLWAY DR, SHELBYVILLE, IN 46176-3294
(317) 398-7231
(317) 421-2022

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
26012721A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26012721A
STATE PHARMACY LICENSE
IN
Enumeration date
01/20/2011
Last updated
01/20/2011
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