Jerrald Scott Pruner, RPH
Pharmacist, Pharmacotherapy in Indianapolis, IN. Individual provider (NPI-1).
NPI number1104841899
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104841899
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerrald Scott Pruner
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P1200X | Pharmacist, Pharmacotherapy | 26017683A | IN | Yes |
Practice location
1481 W 10th StIndianapolis, IN 46202-2803
Phone 317-554-0000
Mailing address
1482 W. 10th StIndianapolis, IN 46202
Phone 317-554-0000
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