Provider Demographics
NPI:1659617264
Name:REDSHAW, JOELLEN E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOELLEN
Middle Name:E
Last Name:REDSHAW
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 1:2040 NORTH SHADELAND AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219
Mailing Address - Country:US
Mailing Address - Phone:317-355-3232
Mailing Address - Fax:317-355-7851
Practice Address - Street 1:2040 NORTH SHADELAND AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219
Practice Address - Country:US
Practice Address - Phone:317-355-3232
Practice Address - Fax:317-355-7851
Is Sole Proprietor?:No
Enumeration Date:2012-12-31
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020690A1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy