Individual
PHYLICIA D SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 N GERMAN CHURCH RD, INDIANAPOLIS, IN 46235-9737
(717) 894-6181
Mailing address
3805 N GERMAN CHURCH RD, INDIANAPOLIS, IN 46235-9737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024236A
IN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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