Individual
KRISTINA KAKASULEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 770-4567
Mailing address
24516 OVERDORF RD, CICERO, IN 46034-7707
(317) 908-7260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021701A
IN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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