Individual
KEVIN EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3216 E 3RD ST, BLOOMINGTON, IN 47401-5427
(812) 336-8426
(847) 396-2877
Mailing address
3216 E 3RD ST, BLOOMINGTON, IN 47401-5427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025659A
IN
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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