Individual
TAMI JADE WYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11101 PENDLETON PIKE, INDIANAPOLIS, IN 46236-2845
(317) 823-3240
Mailing address
8539 GLEN SCOTT LN, INDIANAPOLIS, IN 46236-8572
(317) 579-8434
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26020914A
IN
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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