Individual
MAGDALINE MOURATIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E STATE ROAD 231, CROWN POINT, IN 46307-7495
(219) 662-8854
Mailing address
100 E STATE ROAD 231, CROWN POINT, IN 46307-7495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028380A
IN
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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