Individual
KEITH ALLEN OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 W MCGALLIARD RD, MUNCIE, IN 47304-2203
(765) 741-1494
Mailing address
14751 N COUNTY ROAD 400 E, EATON, IN 47338-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024160A
IN
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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