Individual
MRS. MARIA MAGDALENA KOWALCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17000 MERCANTILE BLVD, MEIJER 230, NOBLESVILLE, IN 46060-3941
(317) 774-7733
Mailing address
17291 WETHERINGTON DR, WESTFIELD, IN 46074-5513
(317) 804-5855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019507A
PHARMACIST LICENSE NUMBER
IN
Enumeration date
05/03/2014
Last updated
05/03/2014
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