Individual
RUTA M SHINKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2419 NICHOL AVE, ANDERSON, IN 46016-3070
(765) 643-1313
Mailing address
2419 NICHOL AVE, ANDERSON, IN 46016-3070
(765) 643-1313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26024751A
LICENSE
IN
Enumeration date
11/22/2020
Last updated
11/22/2020
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