Individual
TRACY EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MARLIN DR, GREENWOOD, IN 46142-1451
(317) 885-3010
Mailing address
12250 WOLVERTON WAY, FISHERS, IN 46037-4411
(317) 501-7356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021782A
IN
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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