Individual
KATHARINE SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 FARMINGTON AVE, HARTFORD, CT 06156-4696
(312) 764-4019
Mailing address
8101 CLEARVISTA PKWY, SUITE 190, INDIANAPOLIS, IN 46256-4696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024205A
IN
Other
Enumeration date
02/25/2015
Last updated
05/13/2021
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