Individual
LEILANI S HIRASUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
574 S LANDMARK AVE, BLOOMINGTON, IN 47403
(812) 335-0000
Mailing address
574 S LANDMARK AVE, BLOOMINGTON, IN 47403
(812) 335-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028280A
IN
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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