Individual
SUSAN KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-6213
Mailing address
460 HALL DR, GREENWOOD, IN 46142-9678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022516A
IN
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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