Individual
MRS. MARY EVELYN KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2012 N WAYNE ST, ANGOLA, IN 46703-9102
(260) 665-5560
Mailing address
2012 N WAYNE ST, ANGOLA, IN 46703-9102
(260) 665-5560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013860A
IN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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