JERRALD SCOTT PRUNER

INDIANAPOLIS, IN
NPI1104841899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: IN  26017683A)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
Mr. JERRALD SCOTT PRUNER RPH
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
Mailing Address
Mr. JERRALD SCOTT PRUNER RPH
1482 W. 10TH ST
INDIANAPOLIS, IN 46202
Phone number: 317-554-0000