Individual
CANDY LEE TRUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 E 79TH AVE, MERRILLVILLE, IN 46410-5738
(219) 947-3789
Mailing address
1630 SAND CREEK DR, CHESTERTON, IN 46304-9374
(219) 921-6237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015714A
IN
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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