Individual
DALE VERKUILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
1195 E RIDGE RD, GRIFFITH, IN 46319-1367
(219) 923-7907
(219) 923-3039
Mailing address
1130 N BROAD ST, GRIFFITH, IN 46319-1532
(219) 484-9150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018692A
IN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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