Provider Demographics
NPI:1902679673
Name:KLINK, JOSIE ELEANOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSIE
Middle Name:ELEANOR
Last Name:KLINK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOSIE
Other - Middle Name:ELEANOR
Other - Last Name:PETTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1701 N SENATE AVE, INPATIENT PHARMACY AG401
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5306
Mailing Address - Country:US
Mailing Address - Phone:317-962-3278
Mailing Address - Fax:317-962-5274
Practice Address - Street 1:1701 N SENATE AVE, INPATIENT PHARMACY AG401
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5306
Practice Address - Country:US
Practice Address - Phone:317-962-3278
Practice Address - Fax:317-962-5274
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051295877183500000X
IN26024743A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist