Individual
MR. GENE ALLEN MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3275 STATE ROAD 32 E, WESTFIELD, IN 46074-8564
(317) 896-9019
(317) 896-9372
Mailing address
3275 STATE ROAD 32 E, WESTFIELD, IN 46074-8564
(317) 896-9019
(317) 896-9372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013842A
IN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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