Individual
STEPHANIE LEE GARTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-0000
Mailing address
7533 KIDWELL DR, INDIANAPOLIS, IN 46239-6836
(317) 502-0259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
IN
Enumeration date
01/28/2020
Last updated
01/28/2020
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