Individual
LAURA JANE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2825 W PERIMETER RD, 116, INDIANAPOLIS, IN 46241-3612
(317) 484-4863
(800) 221-6915
Mailing address
2825 W PERIMETER RD, 116, INDIANAPOLIS, IN 46241-3612
(317) 484-4863
(800) 824-2642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022621A
IN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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