Individual
ENDALISH PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
6101 N KEYSTONE AVE, T-2391, INDIANAPOLIS, IN 46220-2488
(317) 454-7505
(317) 454-7515
Mailing address
6101 N KEYSTONE AVE, T-2391, INDIANAPOLIS, IN 46220-2488
(317) 454-7505
(317) 454-7515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26023912A
STATE LICENSE NUMBER
IN
Enumeration date
02/07/2012
Last updated
02/07/2012
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