Individual
KARA MIKAYLA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6290 N COLLEGE AVE, INDIANAPOLIS, IN 46220-6904
(317) 251-4145
Mailing address
6290 N COLLEGE AVE, INDIANAPOLIS, IN 46220-6904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031106A
IN
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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