NPI 1265250203

Michael Alan Carroll, PHARMDRPH

Practitioner Pharmacist Columbia City, IN

Practice location

Address: 1260 E Sr 205, Columbia City, IN 46725
Phone: (260) 248-9520
Mailing address: 31 Jeffrey Dr, Columbia City, IN 46725-1429

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26030998A (IN)

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Registry record

NPI: 1265250203
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2024
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.