Individual
ANDREA LORRAINE KINGSOLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2583
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008012652
MO
183500000X
Pharmacist
5302038680
MI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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