Healthcare Provider Details

I. General information

NPI: 1841107224
Provider Name (Legal Business Name): KATHERINE GRACE MCMINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE GRACE PRESSON

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 MAIN ST
BEECH GROVE IN
46107-1459
US

IV. Provider business mailing address

1715 MAIN ST
BEECH GROVE IN
46107-1459
US

V. Phone/Fax

Practice location:
  • Phone: 317-784-9037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26032256A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: