Individual
KATHLEEN MARIE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BEAM RD, COLUMBUS, IN 47203-3405
(812) 378-4701
(812) 376-9582
Mailing address
4620 CLAIRMONT DR, COLUMBUS, IN 47203-4762
(812) 552-6544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014993A
IN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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