Individual
HOLLY SHOULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1801 S STATE ROAD 57, WASHINGTON, IN 47501-4541
(812) 254-6195
Mailing address
4058 E COUNTY ROAD 475 N, PETERSBURG, IN 47567-8964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018457A
IN
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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