Individual
DEBORAH LYNN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7325 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3245
(317) 202-9731
Mailing address
7325 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3245
(317) 202-9731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015465A
IN
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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