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Individual

ALLEN ANTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2663
(317) 355-5717
Mailing address
10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2663
(317) 355-5717

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024571A
IN

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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