Individual
LESLIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
(317) 579-8144
Mailing address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020281A
IN
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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