Individual
MR. ANDREW J KASIANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
651 HARVEST CT, CROWN POINT, IN 46307-2954
(219) 662-1695
Mailing address
651 HARVEST CT, CROWN POINT, IN 46307-2954
(219) 662-1695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014063A
IN
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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