DEVON BASCOM

INDIANAPOLIS, IN
NPI1255763652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26025278A)
Enumeration Date2013-08-07
Last Update Date2013-08-07
Business Address
-- DEVON BASCOM
3828 KNICKERBOCKER PL APT T1
INDIANAPOLIS, IN 46240-4684
Phone number: 585-747-9522
Mailing Address
-- DEVON BASCOM
3828 KNICKERBOCKER PL APT T1
INDIANAPOLIS, IN 46240-4684
Phone number:
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