Individual
ANGELA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 BASH ST, INDIANAPOLIS, IN 46250
(877) 548-5151
(877) 313-5252
Mailing address
8847 E MICHIGAN ST, INDIANAPOLIS, IN 46219-5556
(317) 701-6547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018240A
IN
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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