Individual
CRISTA TIYOUH FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-1130
(812) 464-3502
Mailing address
600 E BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-1130
(812) 464-3502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019559
KY
183500000X
Pharmacist
Primary
26026921A
IN
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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