Individual
MASON LEONARD HALLEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
555 ECHO BEND BLVD, GREENWOOD, IN 46142-1183
(317) 701-5468
Mailing address
555 ECHO BEND BLVD, GREENWOOD, IN 46142-1183
(317) 701-5468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017943A
IN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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