Individual
MS. PETRA A FIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-4500
Mailing address
4390 COOPER RD, INDIANAPOLIS, IN 46228-3119
(317) 796-9447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016924A
IN
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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