Individual
LORI SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2732 W MICHIGAN ST, INDIANAPOLIS, IN 46222-3750
(317) 410-4638
Mailing address
4776 W SMOKEY ROW RD, GREENWOOD, IN 46143-9265
(317) 691-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019606A
IN
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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