Individual
BRUCE HANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14625 N GRAY RD, WESTFIELD, IN 46062-9274
(317) 815-6619
Mailing address
14625 N GRAY RD, WESTFIELD, IN 46062-9274
(317) 815-6619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023386A
IN
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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