Individual
SHAKEENA L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH
Contact information
Practice address
4635 N 1ST AVE, EVANSVILLE, IN 47710-3625
(812) 463-0511
(812) 463-0516
Mailing address
2532 STERLING DR, APT 1, EVANSVILLE, IN 47715-1892
(812) 484-6066
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
99022319A
IN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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