Individual
MR. DARRIN SCOTT WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
5635 W 96TH ST, INDIANAPOLIS, IN 46278-6011
(317) 873-7484
Mailing address
7128 SEA PINE DR, INDIANAPOLIS, IN 46250-4138
(317) 828-7541
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
14-107718
KS
183700000X
Pharmacy Technician
Primary
67022512A
IN
183700000X
Pharmacy Technician
739511
MN
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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