Individual
ROGER JAMES MORTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1375 W 86TH ST, INDIANAPOLIS, IN 46260-2101
(317) 253-6427
Mailing address
1375 W 86TH ST, INDIANAPOLIS, IN 46260-2101
(317) 253-6427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017645A
IN
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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