Individual
AN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8448 CENTER RUN RD, T-0635, INDIANAPOLIS, IN 46250-4505
(317) 595-0432
Mailing address
8448 CENTER RUN RD, T-0635, INDIANAPOLIS, IN 46250-4505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022883A
IN
Other
Enumeration date
06/09/2011
Last updated
07/06/2011
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