MEDICARE: DR. DAWN MICHELLE CHANDLER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26021062A	IN

General Provider Information

NPI Number	:	1366443111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN MICHELLE CHANDLER PHARM.D.

Provider Business Mailing Address
First Line	:	1001 W 10TH ST
Second Line	:	PHARMACY DEPT
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2859
Country	:	US
Telephone Number	:	317-639-6671
Fax Number	:	317-630-8772

Provider Business Practice Location Address
First Line	:	1001 W 10TH ST
Second Line	:	PHARMACY DEPT
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2859
Country	:	US
Telephone Number	:	317-639-6671
Fax Number	:	317-630-8772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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