Individual
KELLY CANUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11588 ALLISONVILLE RD, FISHERS, IN 46038-1846
(317) 842-7773
Mailing address
15234 MERRITT PASS, NOBLESVILLE, IN 46062
(317) 507-2880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020882A
IN
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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