Individual
DR. AIZEL JOY S BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
5220 OAK LEAF DR APT A5, INDIANAPOLIS, IN 46220-3362
(773) 716-4886
Mailing address
5220 OAK LEAF DR APT A5, INDIANAPOLIS, IN 46220-3362
(773) 716-4886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028913A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028913A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
12/15/2020
Last updated
12/15/2020
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