Individual
AUDRA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 W MAIN ST, BROWNSBURG, IN 46112-1242
(317) 858-7834
Mailing address
20 W MAIN ST, BROWNSBURG, IN 46112-1242
(317) 858-7834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021129A
IN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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