Individual
SAMUEL SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5911 MADISON AVE, INDIANAPOLIS, IN 46227-4726
(317) 791-3545
Mailing address
5911 MADISON AVE, INDIANAPOLIS, IN 46227-4726
(317) 791-3545
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26029201A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/14/2018
Last updated
05/09/2026
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