Individual
REBECCA R QUACKENBUSH SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2250 TEAL RD, LAFAYETTE, IN 47905-2218
(765) 637-7456
Mailing address
6059 FERGUSSON DR, WEST LAFAYETTE, IN 47906-8698
(765) 479-2301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019601A
IN
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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