Individual
MRS. LEE ANISSA STULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1106 VETERANS PKWY, CLARKSVILLE, IN 47129-2370
(812) 285-1741
Mailing address
2424 ADDMORE LN LOT 42, CLARKSVILLE, IN 47129-9172
(502) 548-7199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018288A
IN
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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