Individual
RICHARD AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2620 S WESTERN AVE, MARION, IN 46953-3556
(765) 668-0208
Mailing address
2620 S WESTERN AVE, MARION, IN 46953-3556
(765) 668-0208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017891A
IN
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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