Individual
THEODORE COLE BAITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 N STATE ROAD 135, GREENWOOD, IN 46142-1003
(317) 709-8666
Mailing address
8416 LISMORE EAST DR APT C, INDIANAPOLIS, IN 46227-9323
(317) 709-8666
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67036483A
IN
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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