Individual
ERIN PAYNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 GRAPE RD, MISHAWAKA, IN 46545-8708
(574) 273-3510
Mailing address
313 E LASALLE AVE, SOUTH BEND, IN 46617-2765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025516A
MI
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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