Individual
KEVIN MICHAEL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3310 E JACKSON ST, MUNCIE, IN 47303-5170
(765) 286-0934
(765) 741-8745
Mailing address
3310 E JACKSON ST, MUNCIE, IN 47303-5170
(765) 286-0933
(765) 741-8745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017015A
IN
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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