Individual
MAN KUNG JAMES SHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5550 E FALL CREEK PARKWAY NORTH DR, INDIANAPOLIS, IN 46226-1453
(317) 614-4051
(317) 614-4052
Mailing address
14777 DRAYTON DR, NOBLESVILLE, IN 46062-8260
(859) 539-6226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018038
KY
183500000X
Pharmacist
051.302967
IL
183500000X
Pharmacist
Primary
26026304A
IN
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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