Individual
SAMANTHA SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 LAPORTE AVE, VALPARAISO, IN 46383-6914
(219) 531-6628
(219) 707-8582
Mailing address
2420 LAPORTE AVE, VALPARAISO, IN 46383-6914
(219) 531-6628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030178A
IN
Other
Enumeration date
07/31/2013
Last updated
01/09/2024
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