Provider Demographics
NPI:1396023909
Name:ZUBER, MAREN L
Entity Type:Individual
Prefix:
First Name:MAREN
Middle Name:L
Last Name:ZUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 E SOUTHPORT RD
Mailing Address - Street 2:T-1789
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-3321
Mailing Address - Country:US
Mailing Address - Phone:317-787-6285
Mailing Address - Fax:317-787-6285
Practice Address - Street 1:4850 E SOUTHPORT RD
Practice Address - Street 2:T-1789
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-3321
Practice Address - Country:US
Practice Address - Phone:317-787-6285
Practice Address - Fax:317-787-6285
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-31
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022900A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist