Thacker, David Leo

Thacker, David Leo is an individual health care provider with primary practice located at 6101 N. Keystone Ave , Indianapolis IN 46220-2488. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Thacker, David Leo can be contacted via phone (317) 454-7505.

Contact Information

Primary practice address
6101 N. Keystone Ave Indianapolis IN 46220-2488
Phone: (317) 454-7505
Fax: (317) 454-7515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202206395 Virginia
Pharmacy Service Providers / Pharmacist 183500000X RP0006855 West Virginia
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26023537A Indiana

Profile Details

NPI number 1477801066
LBN Legal business name Thacker, David Leo
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Aug 29th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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