Individual
LAURA ROSE JOHANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 E 151ST ST, CARMEL, IN 46032-5056
(317) 564-3522
(317) 564-3523
Mailing address
15602 VIKING ECLIPSE CT, WESTFIELD, IN 46074-7646
(812) 664-2472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024180A
IN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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