Individual
RUSSELL STEVEN IMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8770 GUION RD, SUITE G, INDIANAPOLIS, IN 46268-3042
(317) 829-0550
(317) 829-0545
Mailing address
7016 COPPERFIELD DR, EVANSVILLE, IN 47711-1675
(812) 867-1752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013574A
IN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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