Individual
JENNA MICHELLE SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5911 MADISON AVE, INDIANAPOLIS, IN 46227-4726
(317) 791-3545
(317) 791-3547
Mailing address
8447 CLEARWATER LN APT 106, INDIANAPOLIS, IN 46240-1673
(317) 512-8854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018726
KY
183500000X
Pharmacist
26026631A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
018726
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26026631A
IN
Other
Enumeration date
11/22/2019
Last updated
01/29/2020
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