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Individual

AMY ELLEN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT-ADV

Contact information

Practice address
8405 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1348
(317) 862-2414
Mailing address
3444 S SADLIER DR, INDIANAPOLIS, IN 46239-1222
(317) 667-3649

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67010078A
IN

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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