Individual
IAN JAMESON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 MICHIGAN RD, INDIANAPOLIS, IN 46228-2219
(317) 287-0427
(317) 287-0427
Mailing address
5960 RICHMOND LN, INDIANAPOLIS, IN 46254-1067
(317) 361-7530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026693A
IN
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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