Individual
KIMBERLY DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 W MCCLAIN AVE, SCOTTSBURG, IN 47170-1161
(812) 752-5589
Mailing address
2117 W ROBIN RD, SCOTTSBURG, IN 47170-6857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019990A
IN
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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