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NPI Code Detail

MEDICARE: KAREN SUE MADINGER RPH

MEDICARE: KAREN SUE MADINGER RPH
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
1183500000XPharmacistCV2005248IN

General Provider Information

NPI Number : 1275129330
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUE MADINGER RPH
Provider Business Mailing Address
First Line : 11380 HICKORY WOODS DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-1887
Country : US
Telephone Number : 317-490-5289
Fax Number :
Provider Business Practice Location Address
First Line : 2330 E 46TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1452
Country : US
Telephone Number : 317-253-1636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 12/14/2020

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Directions to “ KAREN SUE MADINGER RPH” Practice Location

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