RICHARD LAUREL FATTIC

INDIANAPOLIS, IN
NPI1275710642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26013090A)
Enumeration Date2008-01-28
Last Update Date2008-01-28
Business Address
-- RICHARD LAUREL FATTIC
1410 W 10TH ST
INDIANAPOLIS, IN 46209-0001
Phone number: 317-988-2828
Mailing Address
-- RICHARD LAUREL FATTIC
1481 W. 19TH ST
INDIANAPOLIS, IN 46209-0291
Phone number: 317-988-2828
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