Individual
MARISSA MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1421 S RANGELINE RD, CARMEL, IN 46032-2933
(317) 844-2775
Mailing address
9103 SARGENT RD, INDIANAPOLIS, IN 46256-1131
(317) 698-9655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026680A
IN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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