Individual
CARLY RENEE KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 5TH AVE, HAMMOND, IN 46320-1002
(219) 473-9709
(219) 473-9714
Mailing address
1100 5TH AVE, HAMMOND, IN 46320-1002
(219) 473-9709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023877A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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