Individual
PAUL KULESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
6583 FEDERAL AVENUE, PORTAGE, IN 46368
(219) 743-0497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2022015452
MO
183500000X
Pharmacist
Primary
26027189A
IN
183500000X
Pharmacist
66049
TX
Other
Enumeration date
11/12/2020
Last updated
03/24/2024
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