Individual
MISS DIANA KAY CLOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ANDERSON ST, ELWOOD, IN 46036-1541
(765) 552-9565
(765) 552-1289
Mailing address
16089 TENOR WAY, NOBLESVILLE, IN 46060-9297
(317) 696-2722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018223A
IN
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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