Individual
SHAUNA KAY HALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 E MARKLAND AVE, KOKOMO, IN 46901-6236
(765) 456-3641
Mailing address
1920 E MARKLAND AVE, KOKOMO, IN 46901-6236
(765) 456-3641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67041893A
IN
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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