Carly Renee Prater
Pharmacist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1275179772
StatusActive
Last updated in NPPESNov 20, 2019
Details
- NPI
- 1275179772
- Entity type
- Individual (NPI-1)
- Name
- Carly Renee Prater
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Last updated
- Nov 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26022537a | IN | Yes |
Practice location
9835 Fall Creek RdIndianapolis, IN 46256-4802
Phone 317-577-3486 · Fax 317-577-3487
Mailing address
8637 Knollway CtFishers, IN 46038-3581
Phone 317-509-0419
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