Most Relevant Information
Provider Data
NPI Number: | 1003452269 |
Provider Name: | KATIE BLUM PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 1835P0018X |
Specialty: | Pharmacist |
License Number: | 26025587A |
Most Important Dates
Enumeration Date: | 11/22/2019 |
Last Updated: | 01/20/2020 |
Provider Practice Location
8745 S EMERSON AVE
INDIANAPOLIS
IN
462379400
Practice Location Phone/Fax
Phone: | 3178843325 |
Fax: |
Provider Mailing Location
8745 S EMERSON AVE
INDIANAPOLIS
IN
462379400
Provider Mailing Phone/Fax
Phone: | |
Fax: |