Individual
EMILY ISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5173 W WASHINGTON ST, INDIANAPOLIS, IN 46241-2205
(317) 381-9659
(317) 381-9678
Mailing address
8735 BERGESON DR, INDIANAPOLIS, IN 46278-1192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025546A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326453440
—
IN
Enumeration date
06/26/2014
Last updated
11/20/2019
About Stedi
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