Individual
DR. KEI MARUYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5349 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3011
(317) 387-2410
(317) 387-2415
Mailing address
5349 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3011
(317) 387-2410
(317) 387-2415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26024221A
IN
1835P1200X
Pharmacotherapy Pharmacist
Primary
26024221A
IN
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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