Individual
DR. DOREEN A BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 BRAMBLEBERRY CT, INDIANAPOLIS, IN 46239-6859
(503) 509-9105
Mailing address
5815 BRAMBLEBERRY CT, INDIANAPOLIS, IN 46239-6859
(503) 509-9105
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26020209A
IN
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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