Individual
DIANNA K TETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
11825 ATLANTIC RD, FORTVILLE, IN 46040-9603
(317) 485-4961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013023A
IN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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