Individual
KELSEY JO LANFAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4444 STATE ROAD W 46, BLOOMINGTON, IN 47404
(812) 876-2915
(812) 935-8445
Mailing address
4444 STATE ROAD W 46, BLOOMINGTON, IN 47404
(812) 876-2915
(812) 935-8445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028803A
IN
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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