Individual
CLIFFORD M STALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5805 ROCKVILLE RD, INDIANAPOLIS, IN 46224-9120
(317) 241-1141
Mailing address
5805 ROCKVILLE RD, INDIANAPOLIS, IN 46224-9120
(317) 241-1141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014406A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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