Individual
SHELLI ANN BULACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 SR 229 NORTH, BATESVILLE, IN 47006
(812) 933-6220
(812) 933-6255
Mailing address
29112 TRACKVILLE RD, BROOKVILLE, IN 47012-9546
(812) 576-0077
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26021691A
IN
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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