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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