Individual
JEFFRY LANCE COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5925 W 71ST ST, INDIANAPOLIS, IN 46278-2712
(317) 614-6182
Mailing address
117 E COLUMBINE LN, WESTFIELD, IN 46074-9741
(317) 397-7323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017570A
IN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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