Individual
MRS. CARLA M MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 N. MERIDIAN STREET, INDIANAPOLIS, IN 46204
(317) 962-1746
(317) 962-2030
Mailing address
5833 DAPPLE TRACE, INDIANAPOLIS, IN 46228
(317) 280-0294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021010A
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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