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NPI Code Detail

MEDICARE: SHEBA AJMAL PHARMACIST

MEDICARE: SHEBA AJMAL PHARMACIST
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
1183500000XPharmacist26029466AIN

General Provider Information

NPI Number : 1548901929
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEBA AJMAL PHARMACIST
Provider Business Mailing Address
First Line : 4935 S ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-3516
Country : US
Telephone Number : 317-791-3822
Fax Number :
Provider Business Practice Location Address
First Line : 1030 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3261
Country : US
Telephone Number : 317-791-3822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/07/2022

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Directions to “ SHEBA AJMAL PHARMACIST” Practice Location

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