Individual
MR. JERRALD SCOTT PRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1482 W. 10TH ST, INDIANAPOLIS, IN 46202
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26017683A
IN
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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