Individual
MR. ROBERT TYRONE COICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
252 MORTHLAND DR, VALPARAISO, IN 46383-6202
(219) 464-9776
Mailing address
1132 COUNTRY CLUB DR, CROWN POINT, IN 46307-9344
(219) 988-2980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11189
IN
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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