Individual
JOHN WILLIAM PROUT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5110 E 38TH ST, INDIANAPOLIS, IN 46218-1717
(317) 549-1891
(317) 546-7370
Mailing address
5110 E 38TH ST, INDIANAPOLIS, IN 46218-1717
(317) 549-1891
(317) 546-7370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026186A
IN
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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