Provider Demographics
NPI:1801414867
Name:STRATTON, MIRANDA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MIRANDA
Middle Name:LYNN
Last Name:STRATTON
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 1:7283 ZANESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-4919
Mailing Address - Country:US
Mailing Address - Phone:763-647-8461
Mailing Address - Fax:
Practice Address - Street 1:940 PARK EAST BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-0792
Practice Address - Country:US
Practice Address - Phone:765-464-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1243211835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric