Individual
MS. NICKIE L HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W MAIN ST, BROWNSBURG, IN 46112-1242
(317) 858-7834
Mailing address
5319 W 26TH ST, SPEEDWAY, IN 46224-3308
(317) 293-4410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013570A
IN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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