Provider / Organization | NPI | Date Certified |
---|---|---|
GWEN HUBER | 1760086631 | 2020-11-22 |
Gwen Huber is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760086631. Registration indicates Gwen Huber is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Gwen Huber RPH |
Practice Office Address | 5920 MADISON AVE INDIANAPOLIS, IN US |
Practice Office Telephone | 3177890256 |
Mailing Address | 5920 MADISON AVE INDIANAPOLIS, IN 462274775 US |
Business Telephone | 3177890256 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 26020827A
IN |