Dianna K Tetrick, rph
Pharmacist in Marion, IN. Individual provider (NPI-1).
NPI number1104939701
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104939701
- Entity type
- Individual (NPI-1)
- Name
- Dianna K Tetrick
- Credential
- rph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26013023a | IN | Yes |
Practice location
1700 E 38th StMarion, IN 46953-4568
Phone 765-674-3321
Mailing address
11825 Atlantic RdFortville, IN 46040-9603
Phone 317-485-4961
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All 57 Pharmacist providers in Marion · All 1,547 providers in Marion
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