Individual
DR. AUSTIN TYLER WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(812) 786-5714
Mailing address
350 MONON BLVD APT 123, CARMEL, IN 46032-2356
(812) 786-5714
(857) 770-9648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029309A
IN
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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