Individual
CARLISSA FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S LIBERTY DR, BLOOMINGTON, IN 47403-1924
(812) 349-1391
(812) 349-1393
Mailing address
180 CINDY LN, BEDFORD, IN 47421-8215
(765) 576-0013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026132A
IN
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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