Individual
MR. PATRICK JOSEPH DEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10202 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2670
(317) 899-3793
(317) 899-3793
Mailing address
10202 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2670
(317) 899-3793
(317) 899-3793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018241A
IN
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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