Individual
PHILIP SLOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6050 US HIGHWAY 6, PORTAGE, IN 46368-5047
(219) 763-0310
Mailing address
6050 US HIGHWAY 6, PORTAGE, IN 46368-5047
(219) 763-0310
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26023822A
IN
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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