Individual
DR. JUSTIN MCMENAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
(574) 234-5036
Mailing address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051302914
IL
183500000X
Pharmacist
Primary
26023982A
IN
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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