Individual
DAVID M ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
509 MCCOLLUM ST, LA PORTE, IN 46350-5113
(219) 575-8144
Mailing address
3253 FRANKLIN ST, MICHIGAN CITY, IN 46360-7005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027675A
IN
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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