Individual
CALVIN JOSEPH LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7202 MICHIGAN RD, INDIANAPOLIS, IN 46268-2312
(317) 291-1220
Mailing address
7202 MICHIGAN RD, INDIANAPOLIS, IN 46268-2312
(317) 291-1220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029515A
IN
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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