Individual
JORGE LUEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2307
(317) 261-1753
Mailing address
1153 N TREMONT ST, INDIANAPOLIS, IN 46222-3168
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
99129446A
IN
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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