Individual
REBEKAH NICOLE OLENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 CALUMET AVE, VALPARAISO, IN 46383-3130
(219) 464-2141
Mailing address
1805 CALUMET AVE, VALPARAISO, IN 46383-3130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023115A
IN
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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