Individual
GODA TRIBANDYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6749
(317) 359-6389
(317) 359-9360
Mailing address
7425 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022257A
IN
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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