Individual
SHAWNEE LYNN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1481 W. 10TH STREET, INDIANAPOLIS, IN 46202
(317) 554-0000
Mailing address
7812 PARKDALE DR, ZIONSVILLE, IN 46077-8012
(317) 769-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017898A
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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