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Individual

ASHLEY HARROLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6925 W 38TH ST, INDIANAPOLIS, IN 46254-3905
(317) 329-7806
Mailing address
6925 W 38TH ST, INDIANAPOLIS, IN 46254-3905
(317) 329-7806

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024175A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26024175A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
11/09/2011
Last updated
11/09/2011
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