Provider Demographics
NPI:1558430777
Name:SIMCOX, DEBORAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SIMCOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 BRENTRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9287
Mailing Address - Country:US
Mailing Address - Phone:317-714-4997
Mailing Address - Fax:
Practice Address - Street 1:4845 BRENTRIDGE PL
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-9287
Practice Address - Country:US
Practice Address - Phone:317-714-4997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017013A1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric