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Individual

DR. TAMMY KAY DEROUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
5602 CAITO DR, INDIANAPOLIS, IN 46226-1346
(317) 544-4340
Mailing address
15544 ALAMEDA PL, WESTFIELD, IN 46074-8155
(317) 437-7977

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024406A
IN

Other

Enumeration date
02/03/2012
Last updated
05/02/2013
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