Individual
ANTHONY CARL ACITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15005 STATE ROAD 23, GRANGER, IN 46530
(574) 271-2553
Mailing address
52260 COVERED WAGON TRL, GRANGER, IN 46530-8951
(574) 273-4742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018906A
IN
Other
Enumeration date
10/10/2011
Last updated
05/09/2013
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