Individual
THERESE STAUBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8903
Mailing address
8406 SOMERVILLE DR, INDIANAPOLIS, IN 46216-2065
(317) 679-5871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014146A
IN
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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