Individual
CARLY RENEE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9835 FALL CREEK RD, INDIANAPOLIS, IN 46256-4802
(317) 577-3486
(317) 577-3487
Mailing address
8637 KNOLLWAY CT, FISHERS, IN 46038-3581
(317) 509-0419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022537A
IN
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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