Individual
GIRLIE KANYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 N POST RD, INDIANAPOLIS, IN 46216-1002
(317) 547-2926
Mailing address
9543 W STARGAZER DR, PENDLETON, IN 46064-7507
(317) 854-2205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029619A
IN
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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