Individual
SHANNON LYNN CASTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST # 119, INDIANAPOLIS, IN 46202-2803
(317) 988-4702
Mailing address
1481 W 10TH STREET, PHARMACY (119), INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26027670A
IN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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