Individual
KRISTEN MICHELLE MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
Mailing address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(744) 004-5505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028421A
IN
Other
Enumeration date
02/03/2020
Last updated
10/03/2023
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