Individual
JUSTIN ANTHONY DUNNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12850 STATE ROAD 23, GRANGER, IN 46530-7183
(574) 807-8233
Mailing address
52318 AVANELLE ST, GRANGER, IN 46530-9196
(574) 271-7570
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26021171A
IN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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