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Individual

MRS. ERIN L SOUTHWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
2620 KESSLER BOULEVARD EAST DR, INDIANAPOLIS, IN 46220-2890
(317) 475-6007
(317) 475-6076
Mailing address
302 HAMPSTEAD CT, NOBLESVILLE, IN 46060-4231
(317) 776-1423

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021067A
IN
183500000X
Pharmacist
51289110
IL

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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