Individual
KAYLEE ANNE RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5555 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4715
(812) 299-2210
Mailing address
5555 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024069A
IN
Other
Enumeration date
10/07/2011
Last updated
02/10/2022
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