Individual
MARTINA FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 948-9510
Mailing address
517 DRAKE ST UNIT 231, INDIANAPOLIS, IN 46202-3789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26027097A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
26027097A
IN
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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