Individual
BANSARI AMRUTLAL MODHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(812) 229-5972
Mailing address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(812) 229-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45023734A
IN
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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