Individual
DR. SAMUEL L STUKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-4525
Mailing address
720 ESKENAZI AVE, ST. MARGARET'S PHARMACY, INDIANAPOLIS, IN 46202-5187
(317) 880-4525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028893A
PHARMACIST LICENSE NUMBER
IN
Enumeration date
03/12/2021
Last updated
03/12/2021
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