Individual
MR. EARL S WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
651 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1649
(219) 865-2245
(219) 865-8626
Mailing address
651 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1649
(219) 865-2245
(219) 865-8626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-286896
IL
183500000X
Pharmacist
Primary
26019628A
IN
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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