Individual
MS. DONNA SUE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 UNIVERSITY BLVD, UH1451, INDIANAPOLIS, IN 46202-5149
(317) 274-7398
(317) 278-1044
Mailing address
6918 BRETTON CIR, INDIANAPOLIS, IN 46268-2766
(317) 298-7099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014162
IN
Other
Enumeration date
10/21/2005
Last updated
11/15/2007
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