Individual
EBONY PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5349 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3011
(317) 387-2410
Mailing address
4023 N PARK AVE, INDIANAPOLIS, IN 46205-2740
(317) 469-3766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022588A
IN
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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