Individual
KOJO SPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 VETERANS PARKWAY, CLARKSVILLE, IN 47129
(812) 285-1741
Mailing address
1106 VETERANS PKWY, CLARKSVILLE, IN 47129-2370
(812) 285-1741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018857
KY
183500000X
Pharmacist
Primary
26026859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4030078946
INDIANA STATE DRIVER'S LICENSE
IN
Enumeration date
11/08/2016
Last updated
11/08/2016
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