Individual
MIRANDA MACFARLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545-1468
(574) 335-5000
Mailing address
6409 W 126TH AVE, CROWN POINT, IN 46307-8777
(219) 765-5254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
390200000X
IN
Other
Enumeration date
03/29/2019
Last updated
05/25/2021
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