IndividualActive
Jerrald Pruner, RPH
NPI 1104841899 · Pharmacotherapy Pharmacist · Indianapolis, IN
Provider details
- NPI number
- 1104841899
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26017683A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 554-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1482 W. 10th St
Indianapolis, IN 46202
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.