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Individual

CHRISTIAN NATHANIEL DARMAHKASIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2015 STATE ST, NEW ALBANY, IN 47150-4921
(812) 945-0535
Mailing address
202 NOB HILL LN APT 7, LOUISVILLE, KY 40206-1162

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03237363
OH

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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