Individual
AMY BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST # 119, INDIANAPOLIS, IN 46202-2803
(317) 988-2144
Mailing address
1481 W 10TH ST # 119, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26021160A
IN
Other
Enumeration date
07/03/2006
Last updated
04/07/2016
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