Individual
KATIE ANNE THACKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
31 METAMORA RD, BROOKVILLE, IN 47012-1437
(765) 647-3533
(765) 647-0673
Mailing address
31 METAMORA RD, BROOKVILLE, IN 47012-1437
(765) 647-3533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023054A
IN
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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