Individual
KATELYN HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 S MAIN ST, TOPEKA, IN 46571-9099
(260) 593-2252
Mailing address
PO BOX 157, TOPEKA, IN 46571-0157
(260) 539-2252
(260) 593-2150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028784A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
07/14/2020
Last updated
07/14/2020
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