Individual
KIRBY SIDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1446
(765) 497-2300
Mailing address
8700 COTTONTAIL LN, BATTLE GROUND, IN 47920-9791
(765) 490-1474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019092A
IN
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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