Individual
AUSTIN MITCHELL HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2091
(765) 494-1374
(765) 496-6094
Mailing address
575 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2091
(765) 494-1374
(765) 496-6094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031043A
IN
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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