Individual
MARK BASEM BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
535 BARNHILL DR STE 210, INDIANAPOLIS, IN 46202-5116
(317) 727-6541
Mailing address
525 CHAUNCY ST, CARMEL, IN 46032-7506
(317) 727-6541
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
21428-40
WI
1835X0200X
Oncology Pharmacist
Primary
26030863A
IN
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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