Individual
MR. PAUL A. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 CASSOPOLIS ST., ELKHART, IN 46514
(574) 262-2756
Mailing address
51169 AQUA DR., ELKHART, IN 46514
(574) 361-0218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013031A
IN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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