Individual
AMANDA LEE BRTVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-2677
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-2677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022474A
IN
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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