Individual
ELLEN LINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N STATE ROAD 3 BYP, GREENSBURG, IN 47240-9559
(093) 666-2812
Mailing address
4702 WANAMAKER DR, INDIANAPOLIS, IN 46239-1644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029425A
IN
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
About Stedi
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