Individual
PRISCILLA ANNE RAYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
895 S STATE ROAD 135, TARGET-1364, GREENWOOD, IN 46143-9413
(317) 883-5215
(317) 883-5215
Mailing address
895 S SR 135, TARGET-1364, GREENWOOD, IN 46143-9413
(317) 883-5215
(317) 883-5215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019502A
IN
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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