Individual
LAURA ELLEN KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
907 LINCOLN HWY W, NEW HAVEN, IN 46774-2141
(260) 493-3736
Mailing address
2866 S 650 E, AVILLA, IN 46710-9723
(260) 693-6472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016653
IN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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