Individual
ERIC HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 E 96TH ST, FISHERS, IN 46037-9795
(317) 578-4416
Mailing address
8300 E 96TH ST, FISHERS, IN 46037-9795
(317) 578-4416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26023177A
STATE LICENSE
IN
Enumeration date
11/03/2020
Last updated
11/03/2020
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