THEODORE COLE BAITY
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1629812011- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1290 N STATE ROAD 135, GREENWOOD, IN, 461421003
- Phone
- (317) 709-8666
Specialties & Taxonomies
Pharmacy Technician
Primary License: IN #67036483A