Individual
CHAD ANDREW PENTECOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2150 CHESTER BLVD, RICHMOND, IN 47374-1217
(765) 935-4650
Mailing address
2150 CHESTER BLVD, RICHMOND, IN 47374-1217
(765) 935-4650
(765) 962-5927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020002A
IN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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