Individual
MICHAEL ALAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1260 E SR 205, COLUMBIA CITY, IN 46725
(260) 248-9520
Mailing address
31 JEFFREY DR, COLUMBIA CITY, IN 46725-1429
(574) 551-8247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030998A
IN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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