Individual
KRISTIN LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2014 N MICHIGAN ST, PLYMOUTH, IN 46563-1048
(574) 936-8388
Mailing address
2014 N MICHIGAN ST, PLYMOUTH, IN 46563-1048
(574) 936-8388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017629
IN
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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