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Contact Information

DANA M GRAHAM, DVM
6297 W FOSTER BRANCH DR
PENDLETON, IN46064-9214
 Phone: 317-410-4452
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for

NPI Number 1174134217
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/12/2020
Last updated 08/12/2020 - About 6 years ago
Identifiers
IN License # 24005899A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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