Individual
TERESA L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4851 W LLOYD EXPY, EVANSVILLE, IN 47712-6520
(812) 421-1268
(812) 426-7090
Mailing address
326 LESLIE AVE, EVANSVILLE, IN 47712-5015
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67006943A
IN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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