Individual
CHRISTINE MARIE FIVECOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
605 N DIXON RD, ATTENTION PHARMACY DEPARTMENT, KOKOMO, IN 46901
(765) 457-0800
Mailing address
210 N 600 W, KOKOMO, IN 46901-3761
(765) 210-5512
(765) 454-5286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017244A
IN
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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