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Individual

LINDSAY RENEE BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
1010 E STATE ROAD 44, SHELBYVILLE, IN 46176-1770
(317) 398-8495
Mailing address
229 HARVEST LN, VERSAILLES, IN 47042-9070
(812) 871-5939

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023709A
IN

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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