Healthcare Provider Details

I. General information

NPI: 1922973932
Provider Name (Legal Business Name): DALTON HUFFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 S SCATTERFIELD RD
ANDERSON IN
46012-5106
US

IV. Provider business mailing address

265 S SCATTERFIELD RD
ANDERSON IN
46012-5106
US

V. Phone/Fax

Practice location:
  • Phone: 765-643-3400
  • Fax:
Mailing address:
  • Phone: 765-643-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26031547A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: