Organization
MUNSTER MEDICAL RESEARCH FOUNDATION, INC.
Active
Organization
MUNSTER MEDICAL RESEARCH FOUNDATION, INC.
Active
Other names
COMMUNITY SURGERY CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHAR KULLERSTRAND (REGIONAL DIRECTOR PATIENT FINANCIAL)
(219) 934-8994
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 836-2480
(219) 836-0560
Mailing address
801 MACARTHUR BLVD, SUITE 102, MUNSTER, IN 46321-2915
(219) 836-2480
(219) 836-0560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535650
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
200330860
—
IN
Enumeration date
11/09/2006
Last updated
07/11/2024
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