Provider Demographics
NPI:1801666573
Name:SANDMAN, CHLOE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:SANDMAN
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 1:5858 N COLLEGE AVE APT 313
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3680
Mailing Address - Country:US
Mailing Address - Phone:317-696-6892
Mailing Address - Fax:
Practice Address - Street 1:8816 DR CHARLES NELSON DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6457
Practice Address - Country:US
Practice Address - Phone:317-286-4752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26089378A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist