Individual
MR. LYNN G WILTRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
407 W GLEN PARK AVE, GRIFFITH, IN 46319-1511
(219) 924-2703
Mailing address
12115 W 95TH PL, SAINT JOHN, IN 46373-9537
(219) 365-3135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016285A
IN
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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