Individual
BRIAN R OVERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1001 W 10TH ST, W7555 MYERS BLDG, WHS, INDIANAPOLIS, IN 46202-2859
(317) 613-2315
(317) 613-2316
Mailing address
1001 W 10TH ST, W7555 MYERS BLDG, WHS, INDIANAPOLIS, IN 46202-2859
(317) 613-2315
(317) 613-2316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020989A
IN
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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