Individual
MR. SCOTT VANVLYMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
308 N MAIN ST, HEBRON, IN 46341-8790
(219) 996-2930
Mailing address
5230 W 1000 N, WHEATFIELD, IN 46392-7635
(219) 987-5435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015985A
IN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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