Individual
PHILIP A KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 W 6TH ST, JASPER, IN 47546-2628
(812) 482-3300
Mailing address
5531 CENTRAL AVE, INDIANAPOLIS, IN 46220-3074
(812) 639-1440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125607
EMPLOYEE ID
—
Enumeration date
12/15/2020
Last updated
12/15/2020
About Stedi
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