Individual
KRISTIE HANH DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S HARRISON ST, SHELBYVILLE, IN 46176-2160
(317) 398-9791
Mailing address
200 S HARRISON ST, SHELBYVILLE, IN 46176-2160
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26022746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760585442
NPI
IN
Enumeration date
11/19/2020
Last updated
11/19/2020
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