Individual
MARIA LULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 JOLIET ROAD, DYER, IN 46311
(219) 864-4314
Mailing address
805 JOLIET ROAD, DYER, IN 46311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020623A
IN
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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