Individual
AUTUMN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N MAIN ST, MONTICELLO, IN 47960-1501
(574) 583-4489
Mailing address
4333 S YANKEE DR, MONTICELLO, IN 47960-7776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021500A
IN
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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