Individual
TASHA EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
130 S CREASY LN, LAFAYETTE, IN 47905-0749
(765) 448-3517
Mailing address
1905 KYVERDALE DR, LAFAYETTE, IN 47909-8264
(765) 477-0065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021464A
IN
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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